Industrial Handheld Terminal
 
Evaluation Unit Questionnaire
 

All fields are required to be completed.
Applicants will be contacted by a Casio Representative to discuss your application.

     
Your Name (First and Last)
 
   
Company name
  
   
Address 1
 
   
Address 2
  
   
City
  
   
State/Province
  
     
Zip Code
 
   
Country
  
   
Phone
  
     
E-mail
  
   
Web Site
 
     
No. of handhelds deployed
  
     
Make of handhelds deployed
 
     
No. of years in business
  
     
No. of forecast for this year
 
     
Software solution
 
     
Interesting product
 
     

Company profile

  
Consulting Firm
Hardware Manufacturer
Independent Software Vendor (ISV)
Value-Added Reseller (VAR)
System Integrator (SI)
Other
     
Which market comprises the majority
of your firms sales
 
Hospitality
Manufacturing
Logistics
Government
Retail
Transportation
Route Accounting
Field Service
Healthcare
Sales Automation
Other
     
Do you have a project identified?
 
     

Comments, or any other additional information, question