Information Request Form

 

So that we can serve you, please complete the form below
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* Required Fields

  

Company Information
How did you hear about iMATRIX Software?
Keyword: *
Company Name: *
Phone Number: *
Primary Contact: *
Title: *
Fax Number:
Email Address: *
Mailing Address: *
Apt/Suite:
City: *
State: *
Zip: *
Country: *
Email for primary contact? Yes No
E-commerce Shopping System Specifications
Do you want a shopping cart? Yes No
Number of Product Categories:
How many different products will you be selling?
Product and Category Descriptions:
Site Specifications
Do you currently have a website? Yes No
URL:
Do you want a new website? Yes No
Do you have a site map prepared? Yes No
Do you have page specifications completed? Yes No
Would you like help in page design? Yes No
Compensation and Marketing Plan Specifications
Have you defined your marketing plan? Yes No
Have you defined your compensation plan? Yes No
Would you like help defining your marketing plan? Yes No
Which compensation plan do you have or want?

Provide a basic description.
Would you like help learning the different types of plans? Yes No
Site Replication Specifications
Do you want Distributor Site Replication? Yes No
How many pages will be in your replicated site?
Will your distributor site "mirror" your corporate site? Yes No
URL of the site you want replicated:
Would you like a demonstration of Site Replication? Yes No
Funding
Are you funded? Yes No
Do you have a site development and marketing budget? Yes No
What level of funding does your company have? $
What is your budget for your software project? $
Time Frame for Installation
Do you have a project plan or a drop dead date? Yes No
What is your projected implementation date?
Please enter the letters and figures you are seeing in the picture. The letters are NOT case sensitive.
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