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We hope that you've found this web site both informative and useful.

Please use this form to request more detailed information or to have a sales representative contact you.

(All fields require a response, except the comments section.)

Sales Region

Country

Contact Information

First Name

Last Name

Company or Organization

e-mail

Country Telephone Code

Telephone Number

Product Details

1. What products are you interested in purchasing?
(Check all the apply)


Compact 5 button battery-less keypad with multiple choice input
Miniature 5 button keypad with multiple choice input
Miniature 5 button keypad with multiple choice input (including LCD plus a dedicated send button)
Miniature keypad with numeric input (excluding LCD)
Compact keypad with numeric LCD display and numeric input
Compact keypad with multiple line alphanumeric and graphic LCD display and alphanumeric input and texting
Compact keypad for education or training specific applications
Compact Keypad for large scale meetings
Lightweight keypad with seven-segment numeric LED display and numeric input
Lightweight keypad with multiple line alphanumeric LCD display and alphanumeric input and texting
Touchscreen keypad with configurable color graphic LCD display and alphanumeric input messaging and chip card reader
Other
(please specify)

2. How many meeting/training rooms do you plan to outfit with Reply® wireless audience response systems?

3. How many interactive keypads do you need to each of those meeting/training rooms?

4. If you already know which type of keypad you require, please select below (note:This data field is not mandatory)

5. What type of software do you desire to use with these systems?
Dedicated polling software application
Add-in Poller to PowerPoint®
A third party product
My own application

6. Comments (optional)




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