Request for Information
Name
Title
Company
City
Mailing Address
State/Province
Zip/Postal Code
Country
Company Phone Number + Extension
E-mail Address
Company Type
Cemetery
Mortuary
Crematory
Other
Company Type (If 'Other' is selected)
Features/Modules You Are Interested In
AR/Contract Management
Trust/Care/Endowment Funds
Cemetery Property Management
Case Management
Cemetery Burials
Forms Printing
Cremation
Service Scheduling
Lead Tracking
Custom Reporting
Live Cemetery Mapping
Document Imaging
General Accounting
Services you are interested in.
High-speed document scanning
Data entry from scanned documents
Network Configuration
Hardware Configuration
Secure Wireless Networking
Secure Bldg. to Bldg. Wireles
Facility Access Control
Facility Surveillance
Harsh Environment Monitoring
VoIP Phone Systems
Do you currently use a computer?
Yes
No
What software do you currently use?
What accounting software do you use?
Convert From
CemSoft
MBS
Pheonix/CIMS
Burroughs
HMIS
Spreadsheets
AS/400
System 36
Access Database
FoxPro Database
Cards
Convert From Other?
How many users do you anticipate?
How soon will you make a decision?
Immediately
1 to 3 months
4 to 6 months
7 to 9 months
9 months to a year
More than a year
Please make a selection
Today's Date