Premier EPOS Lead Acquisition Form
Kris
Damian
Business Name
Contact Name
Position in business
Industry
BAKERY
CASH AND CARRY
DIY
FASHION
HOMEWARE
PAWNBROKERS
RESTAURANT
TAKEAWAY
WHOLESALE
Angling
Art Supplies
B&B
Bakery
Bike
Boutique
Cake
Camping
Charity
Cinema
Clothing
Cobblers
Collectibles
Convenience
Country Store
Customisation
Deli
Desserts
Discount Store
DIY
Electrical
Engraving
Entertainment
Equestrian
Events
Farm Shop
Fashion
Florist
Furniture
Garage
Garden
Gift
Golf
Groomers
Gym
Homeware
Ice Cream
Jewellery
Market Stall
Models
Museum
Music
Newsagents
Online Only
Opticians
Outdoor Activities
Pawnbrokers
Pet Shop
Pharmacy
Plumbing
Pub
Repairs
Restaurant
Salon
Specialty Food & Drink
Sports
Stationary
Supermarket
Sweet Shop
Take Away
Technology
Theatre
Toy Shop
Vape
Vehicle Sales
Vets
Warehouse
Wholesale
Zero Waste
Other...
Email Address
Re-Type Email Address
Phone Number
Full Address
City Name
State / Province
Zip Code
Select Country
Country
Quality Score
1 - Useless
2 - Poor
3 - Average
4 - Good
5 - Great
Where did they hear about us?
Cold Call
MVF
Trade Show
Existing Lead
Inbound Lead
Google
Website
Referral
Social Media
Other
Demo Options
Demo Booked?
YES
NO
When For?
CUSTOM JAVASCRIPT / HTML
Optional Questions (Recommended)
What do they want from an EPOS system?
What is their biggest problem currently?
Do they currently have an EPOS system?
Yes
No
Who is their current EPOS Provider?
How many terminals do they have/need?
1
2
3
4
5
6
7
8
9
10
10+
How many stores do they have?
1
2
3
4
5
6
7
8
9
10
10+
What products do they sell?
Who are their main suppliers?
How big is their store?
When would they want the install to go ahead?
Are there any other decision-makers that need to get involved?
How do they want to buy?
Any other notes to add?
Click to Submit
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