SalesLogix
Personal Version /Evaluation CD Order Form
Email the Form, or Fax to: 877-727-9070   

1. ORGANIZATION INFORMATION

Your Name:Phone Number:
E-Mail : Fax Number:
Organization Name:
Address:
City: State: Postal code:

Web site (if available):

2. SalesLogix Personal Version CD. # required[]@$15.00 each TOTAL [$]
You CD's will be Forwarded by mail ASAP to the address below, we will confirm
your order by e-mail and also provide a receipt. 

3. PAYMENT INFORMATION: Simply check the appropriate payment method and fill in 
   below.  Remember to enter your expiration date!
 
Credit CardAmerican ExpressDiners ClubDiscoverMasterCardVisa Card Number:    Expiration: 
	Name on Card: 

Check Payable to C I Corporation

4. How did you hear about us? 

5. Please tell us a bit about your Sales Automation Project, to better serve your needs.

• Stage of Sales Automation Project
  Idea Interest Planning Vendor evaluation Pilot 

• Total Number of Potential Users   

• Implementation Timing
  30 days 30-90 days  90-180 days 180+ days

• What  Sales Information Management System do you currently use?
   Manual  System
   ACT!
   GoldMine
   Maximizer
   Other 

• Notes: