Name*
Title Or Position
Company Name*
Street Address*
City*
State Or Province*
Zip Postal Code*
Country
Work Phone*
Fax Number
Email Address*
Website
Number Of Locations*
Make A
Selection 1 2 - 3
4 - 5 6 - 10 11-
15 16 - 20 21 +
Number Of Workstations Needed*
Make
A Selection 1 2 - 3
4 - 5 6 - 10 11-
15 16 - 20 21 -
30 31- 40 41 - 50
50 Or More
Existing Software Company Name
Annual Rental Income
Make A
Selection Less Than $500,000
$500,000 - $1,000,000 $1,000,000
- $2,500,000 $2,500,000 -
$5,000,000 $5,000,000 -
$10,000,000 $10,000,000 Or More
New Software Implementation Responsibilities
Make A Selection Information
Gathering Phase Evaluation Of
New Software Primary Decision
Maker
Who Else Will Be Responsible For The New
Software Implementation?
Person's Name
Person's Name
Person's Title
Person's Title
What Is The Current Timeline For New Software
Make A Selection Immediate
1 - 3 Months 3 - 6 Months
6 - 12 Months 12 - 18 Months
18 - 24 Months 24 Months Or Longer
Where Did You Hear About Genisys Software*
Make A Selection Rental
Management Magazine Customer Referral
RER Magazine Rental Product News
American Rental Association
Minnesota Rental Association
California Rental Association
Texas Rental Association
SIA (Snowsports Industries America) Tradeshow
Received Mailing Search Engine
Other
If Referred, Name Of Company Or Person
Type Of Rental Company*
Make A
Selection Home Owner / General
Parties / Special Event Construction
High Reach Industrial
Scaffold Dealership
Snowsports (Ski / Snowboard / Bike)
Video / DVD / Games Boats /
Jetskis / Marina Other
Type of Rental Business If Other
Comments
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