REQUEST A MAINTIMIZER™ 4.0 DEMONSTRATION

Would you like a demonstration of our flagship Computerized Maintenance Management Software System (CMMS)? Complete the form below and one of our representatives will be contacting you to schedule a brief live online web CMMS demo. After the CMMS web demo, you will be supplied with the access code to run the 60-day evaluation CMMS demo you downloaded.

Salutation: Mr. Mrs. Dr. Miss * Name:* Title:* Company Name:* Web Site: Address Line 1:* Address Line 2: City:* State/Province:* Zip/Country Code:* Country:* Country/City Code (Non-US): Telephone: * Phone Ext: Fax:* Email:* Are you a current MaintiMizer™ user? Yes No How did you hear about Ashcom Technologies? Sales Agent Friend/Associate Web Search Advertisement Trade Show Other How many locations do you have that could be automated with our software? How many pieces of equipment or components do you need to maintain with a CMMS? Number of staff members in your Maintenance Department: Number of staff members in your organization: Number of potential concurrent users of the software: Has your CMMS project been budgeted for? Yes No* If Yes, what is your estimated budget (in $USD)? * Estimated timeframe until your management system purchase: Within the next 30 days Within the next 60 days Within the next 90 days More than 90 Days Just Looking * Workstation operating system: Windows 98 Windows NT Windows 2000 Windows XP Windows Vista Sun Solaris Macintosh 8.x Macintosh 9.x Macintosh OSX * Do you currently work on a network? Yes No* Would you like us to send you a demo CD of MaintiMizer™ 4.0? Yes No Are you using a computerized maintenance management system (CMMS) now? Yes No* If yes, which one? If no, how would using CMMS software be helpful to you? Is there an event or compelling reason why you are currently looking for automation? * denotes required field