Inquiry Form

Experience The Connection

This is an example of a ProAct Contact sales inquiry form. We will respond to your inquiry very shortly with a follow-up from our sales department.

By completing this form, your selections will determine what information is sent to you and which sales person is assigned for follow-up. You will also receive a separate e-mail example of a lead summary message and along with a link to a web report that includes your lead information.

 

*Name:  

*Company:

Address:

City:

State/Prov:

Zip/Postal Code:

*Phone:

Fax:

*E-mail:

Web Site:

We Are Interested In (select all that apply):

Capturing Web Site Visitor Leads
Capturing Internally Captured Leads
Lead Alert Routing - Automatically Sent To Designated Recipients
E-mail Marketing - Click Through Tracking & Lead Identification

*When Might You Consider Implementing ProAct Contact? 

Would Like A Follow-up Call:  Yes   No

May We Include You On Our ProAct Contact Mailing List?:  Yes   No  

 

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                   Business Automation Solutions, Inc.     888-827-5628     info@proactcontact.com