| First Name:* |
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| Last Name:* |
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| Title: |
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| Municipality/Jurisdiction:* |
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| State:* |
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| Email Address:* |
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| Phone Number:* |
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| Message: |
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| In Order to Better Meet Your Needs, Please Answer the Following Questions |
| What are your department's top goals this year? (Check all that apply.) |
| Acquire a single solution for departmental convergence |
| Implement document management |
| Establish e-commerce |
| Develop a website |
| Replace current software |
| Enhance reporting |
| Use web-based technology |
| Achieve electronic form and tax bill presentment |
| Improve workflow |
| Reduce costs |
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| What is your municipality's estimated number of taxpayers? |
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| Your need is? |
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| How did you hear about Point Software? |
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Other: |
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