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RESTAURANT MANAGER ORDER FORM

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RESTAURANT MANAGER ORDER FORM Powered By Docstoc
					                                      Dealer Website Order Form
Reseller Information
Company Name:                                                        Order Placed By:
Order Date:                                   Key Contact on this project:
E-mail of key contact:

Domain and Hosting Information
If you have a registered domain name you wish to use for this new website, please list it below:


If not, please provide three Domain Names you wish to have ASI try to try to register:
1.                                             2.                                      3.
Please list up to 4 E-mail addresses for use at this URL (Ex: sales@DomainName.com, JSmith@DomainName.com, etc.):
1.                                 2.                               3.                         4.


Please indicate the USERID you use to access ASI’s DealerServices website:
Do you wish to use this same USERID as the suffix that identifies our custom version of the <RestaurantManagerPOS.com> website?
Ex.: www.RestaurantManagerPOS.com/Acme           Y      /N
If NO, please provide an alternative ID:

Do you wish to have ASI host this website: Y         /N
If YES, please detail the Credit Card to which we should charge the $20 monthly fee
Credit Card:                          Visa                             MasterCard                               AMEX
Card #:                                       Exp. Date:             Name on Card:
Billing Address of Card:                                                                                    Security Code:



Website Content
Please read the copy on each page of the website template and then indicate below whether you wish to update the existing copy with
details about your dealership or whether you prefer to submit custom copy of your own that ASI can post on your behalf:



Home Page
   I will submit custom copy for this page to Design@actionsystems.com
   Please use the information below to insert details about my company into the basic copy on the standard reseller website template
   Please call the reference below to get a quote you can use on our home page:

Restaurant:                                                          Contact:
Phone:                                                               Topic to discuss:
   I will email a photo of this restaurant and contact to Design@actionsystems.com
Info to update template copy:

Year company founded:                         Market served:                                Technologies offered:
   Wireless Pay-at-the-Table                     Security Cameras                                  Online Ordering
   Website Design                                Inventory Control                                 Gift Cards
   Customer Loyalty & Email Clubs                Employee Scheduling                               FACTA & PCI Compliance Training
Other:                                        Other:                                        Other:
Sales phone number:




                Fax completed form to Patti Sery at 301-445-6104 or email it to ofcmgr@actionsystems.com
                                                                                                   S/N:____________________
                                     Dealer Website Order Form

POS Products Page
   I will submit custom copy for this page to Design@actionsystems.com
   Please use the standard copy on the reseller website template along with a link to the RestaurantManagerPOS.com Home Page
   Please include the Chat n Chew logo on this page so I can demo Online Ordering to my prospects. (I understand that there is a
separate fee* to enable the Online Ordering link on my website). *See the Web Service Demo Form




Other Products Page
   I will submit custom copy for this page to Design@actionsystems.com
   Please use the copy below on the Other Products page of our website along with the product offerings indicated.
  I wish this page to display logos of equipment manufacturers not listed below and will email JPG versions of these logos to
Design@actionsystems.com
Info to update template copy:

<Dealer> not only sells and installs POS Systems, we’re a one-stop shop for all the technologies restaurants need to succeed,
including:
   Wireless Pay-at-the-Table                       Security Cameras                             Online Ordering
   Website Design                                  Inventory Control                            Gift Cards
   Customer Loyalty & Email Clubs                  Employee Scheduling                          FACTA & PCI Compliance Training
Other:                                          Other:                                      Other:


A note about equipment:
When it comes to hardware <Dealer> recognizes that the foodservice industry requires rugged, top quality equipment and we offer our
clients only those makes and models that we have evaluated according to foodservice standards. All hardware provided to the client is
always tested and “burned in” by ACME POS before it is delivered to the client’s establishment. Some of the brand name equipment
we offer includes:
   Epson                             Posiflex                            CRS                                 Touch Dynamics
   PartnerTech                       Verifone                            Scannabar                           Socket
   Motorola                          TelCom                              MS Cash Drawer




Service & Support Page
   I will submit custom copy for this page to Design@actionsystems.com
   Please use the information below to insert details about my company into the basic copy on the standard reseller website template
Info to update template copy:

# of months of free support offered on new systems:                    Daytime support phone:
After hours support phone:




                 Fax completed form to Patti Sery at 301-445-6104 or email it to ofcmgr@actionsystems.com
                                                                                                S/N:____________________
                                     Dealer Website Order Form

Testimonials Page
  I will submit custom copy for this page to Design@actionsystems.com
  Please use general ASI user references on this page website
  Please call the references below to get testimonial quotes that can be posted on this page along with a link to their website:

Restaurant 1
Restaurant:                                                          Contact:
Phone:                                                               Website:

Restaurant 2
Restaurant:                                                          Contact:
Phone:                                                               Website:

Restaurant 3
Restaurant:                                                          Contact:
Phone:                                                               Website:




Contact Us Page
  I will submit custom copy for this page to Design@actionsystems.com
  Please use the standard template for this page that lists our main company address
  All data collected via the Info Request form on RestaurantManagerPOS.com should be emailed to our dealership at the following
address:




               Fax completed form to Patti Sery at 301-445-6104 or email it to ofcmgr@actionsystems.com
                                                                                                S/N:____________________

				
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