subject_line
Restaurant Name
Contact Name
Restaurant Address
Restaurant Email
Type of Restaurant?
Table
QSR/ Fast Food
Pizza
What are the needs of the Restaurant?
Fast Bar
Dine-In
Take-Out
Delivery
Drive Thru
Number of Servers per shift
Number of Managers per shift
Hours of Operation
Number of Existing Registers or POS
Do you require Kitchen Display Unit
Yes
No
Remote Printer Requirements
Which of the following do you have an interest in?
You may select multiple choices
There is space to write comments if you wish
Traditional POS Stations?
You may select multiple choices
There is space to write comments if you wish
There is space to write comments if you wish
Hand Held Ordering?
You may select multiple choices
There is space to write comments if you wish
There is space to write comments if you wish
Pay at the Table?
You may select multiple choices
There is space to write comments if you wish
There is space to write comments if you wish
On-Line Ordering?
You may select multiple choices
There is space to write comments if you wish
There is space to write comments if you wish
Ipad style POS?
You may select multiple choices
There is space to write comments if you wish
There is space to write comments if you wish
Cloud System?
You may select multiple choices
There is space to write comments if you wish
There is space to write comments if you wish
Smart Phone based reports and alerts
You may select multiple choices
There is space to write comments if you wish
There is space to write comments if you wish
Remote Access from your home or phone
You may select multiple choices
There is space to write comments if you wish
There is space to write comments if you wish
Camera Integration
You may select multiple choices
There is space to write comments if you wish
There is space to write comments if you wish
Other
You may select multiple choices
There is space to write comments if you wish
There is space to write comments if you wish
Are Credit Cards Accepted
Yes
No
Do you wish to sell and accept gift cards?
Yes
No
Do you wish to run a frequent diner program?
Yes
No
What is your projected time frame for purchase
30-60 Days
60-120 Days
6 Months or More
Current POS-Age of system & Make/Model
Do you have a Website?
No
If so - Address?
If so - Address?
Do you need an extra turn of tables during peak times?
Yes
No
Would additional profits be of interest to you?
Yes
Additional comments, Questions or Requirements:
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