Company Name:

Street Address:

City: State: Zip/Postal Code:

Country: Phone: Fax:

Web Address:

Principal 1 Name: Title:

Phone: Email:

Principal 2 Name: Title:

Phone: Email:

Key Contact: Title:

Phone: Email:

CPUs: SQL Databases:

Networks: Operating Systems:

Technical Certifications: Please list all technical certifications (CDIA, MCP, MCSE, etc.) currently held by one or more employees of your organization.)

Type of Business:VAR Integrator Consultant Other:

Please describe the products and/or services your company offers, with emphasis on your core competencies.


Annual Sales: % Hardware: % Software: % Services:

Target Market: Geographic Coverage:

Total Number of Employees: Number of personnel dedicated to CMMS:

Number dedicated to CMMS Sales: Number dedicated CMMS Support:

How many years has your company sold CMMS Products:

Completed CMMS Installations: Completed Network Installations:

List all other CMMS Software your company currently markets:


List any related technology your company currently markets.


Please provide us with two references, either vendors or customers, whom we can contact (Company name, relationship to your organization, contact name, phone #)


What are the main features of the MaintiMizer™ product that interest you the most?


How did you hear about MaintiMizer?

Additional comments or questions:


Ashcom Representative(s) with whom you have been in contact: