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Contact Request To Vendor
You will be registered as a Software Shortlist Customer. Registration is free and
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. Your login credentials will be sent to the vendor after completing this form.
Contact Person:
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Role or title:
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Company Name:
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Email Address:
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Desired Username :
*
Phone Number:
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Alternate Contact No.:
Address:
Password:
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Re-enter Password:
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Product Name to Contact For:
*
How soon do you intend to purchase software?
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Select
As soon as possible
Within 1 month
1 to 3 months
3 to 6 months
Over 6 months
Not sure
How many people are in your company?:
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Select
1 only
2 to 10
11 to 50
51 to 250
251 to 1000
Above 1001
What is this budget (approximately)?
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Select
No
Not Sure
Yes : Less than $1,000
Yes : $1,001 to $5,000
Yes : $5,001-$10,000
Yes : $10,001-$25,000
Yes : $25,001-$50,000
Yes : $50,001-$100,000
Yes : $100,001-$250,000
Yes : $250,001-$1,000,000
Yes : Above $1,000,000
What is your role in the buying process?
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Influencer
Joint Decision Maker
Sole Decision Maker
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