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BUILD YOUR OWN PHOENIX KIOSK QUOTATION REQUEST FORM


1. Empty Phoenix Kiosk Enclosure with the following Display Option:
No Display
15" LCD, no touchscreen
15" LCD, touchscreen
17" LCD, no touchscreen
17" LCD, touchscreen
 
2. Application:

What is this kiosk going to do?: 

 

 
3. Requirements:
Quantity:

Date initial unit required:  

Projected date of roll-out: 

Is this project funded? 
Yes   No, not yet

Preferred Payment Options:  Purchase   Lease    Rent

Preferred method of response:
 

Other:

How did you hear about us?:  Google   Yahoo    Referral

 

General Information:

Company
Name
Address
City State/Province Zip/Postal Code
Country (if not U.S.)
Phone # Fax #
E-mail


Kiosk Mirror Site Kiosk Main Server
Instruments & Equipment Company  -  2 Wilson Drive  -  Unit 1  -  Sparta  -  NJ  -   07871   

Phone: 973-579-0009 or 800-432-1255  -  Fax: 973-579-6665  -  email: iekiosk@iepos.com

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