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Contact Information
Name
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First Name
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Last Name
*
Job Title
*
Business Name
*
How would you like to be contacted?
*
Phone
Email
Either Phone or Email
Contact Email
*
Contact Phone Number
*
Tell Us About Your Business
Name of Software (if applicable)
Headquarter Location
*
Do you sell primarily within the US?
*
Yes
No
If "No" - What geography do you mostly sell into (50% or greater)?
*
South America
Europe
Asia
Other:
Other Value
(Check all that apply)
Our application is a _________ business solution
*
Enterprise Resource Planning (ERP)
Customer Relationship Management (CRM)
Project Management
Point of Sale (POS)
Field Service Management (FSM)
Order Management
Supply Chain Management
Other:
Other Value
(Check all that apply)
Our application is currently:
*
On-Prem at our Customer's site
In a Private or Virtual Private Cloud (VPC), hosted in a data center
In a Public Cloud
We are a start-up and exploring all options
Other:
Other Value
(Check all that apply)
Our solution has been in market for _________ years
*
We are a start-up and haven't launched our go-to-market strategy yet
Less than 1 year
1-5 years
6-10 years
11+ years
We sell our application today:
*
Direct to customers
Through a single channel
Through multiple channels (i.e. Resellers, VARs)
Other:
Other Value
(Check all that apply)
Our application helps customers in the _____________ vertical/s
*
Healthcare
Manufacturing
Retail
Financial Services
Professional Services
State and Local Government
Federal Government
Distribution
Other:
Other Value
(Check all that apply)
We have customers that require the following compliance needs
*
PCI
HIPAA
NOT APPLICABLE
Other:
Other Value
(Check all that apply)
What else should we know?
Reason For Reaching Out
*
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