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INFORMATION REQUEST FORM
Use this form to request additional information about products and services
that will help you work Faster, Cheaper, and Better, while
also improving Natural Resources Conservation!

INSTRUCTIONS: We only need items in red. However, the more information you can provide, the better we can respond. All information is treated as confidential and not shared with any third parties. The fields below may not align correctly depending on your browser, version, screen resolution, and window size. To move through the fields below, press your keyboard's [TAB] key. To print a copy of this form, select your pull-down menus' FILE > PRINT option. To leave and return to this form without losing entered information, use your browser's [BACK] and [FORWARD] buttons. To send your information to us, press [SEND] button at bottom of this form. If you have not received an acknowledgement within 2 business days, please email us at info@irisinfosys.org. Thank you for your interest!

Your Name (first and last): Your Position:
Representing ("self" or name of organization): Phone Number(s):
Mailing Address: Fax Number:
Website Address: E-mail Address:

What You Would Like From Us:
An Analyst To Call
Product Literature
Rough Cost Estimates
Formal Cost Proposal
Detailed Invoice
Other Information (specify below)
Implementation Timeframe:
Immediately
1-4 weeks
1-3 months
4-11 months
12-18 months
Reference Use

Item(s) That You Want More Information About, Proposals For, Or Want to Order:
This Month's Specials!
Hardworking Hardware!
Snazzy Software!
Dazzling Digital Data!
Full Service Services!
Frugal Financing!

Your Budget Goal? Best Times for Your Free Consultation?

How Did You Hear About Us?

Questions?     Comments?     Suggestions?     Additional Information?

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