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Custom Programming Estimate Request
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First Name (*):
Last Name (*):
E-mail (*):
Title (*):
Phone:
Company Name (*):
Type of Business: 
Web Site:
Number of Employees:

Who referred you?

(e.g. Google, Bing, Other)
Project Information
1. What does your system need to do?
2. Do you have an existing system? What do you like/dislike about it?
3. Will your system need to be accessed remotely, or just at your office?
4. Do you prefer to have a Windows or Web-based user interface?
5. With what programs (e.g. Word, Outlook) does your system need to interface (i.e. merges, exports)?
6. With what systems (e.g. Accounting, CRM) do you need your system to work?
7. Are there any "off the shelf" software packages that might meet your requirements? Which ones have you considered?
8. How many users will use your system?
9. What is your project start date?

10. How would you classify your project?

11. Humans, enter the code shown below (case sensitive). Robots, nice try.

 
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