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Please provide us with the following information and a CompuPawn Sales Specialist will contact you immediately with detailed purchase information.

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CUSTOMER INFORMATION

Store Name:**
Address:**
City:**
State:**
Zip Code:**
Country:**
Phone:**	e.g. +1-(111) 111-1111
Cell:**	e.g. +1-(111) 111-1111
E-mail Address:**
Contact Name:**
Company Name:**
Contact Title:**

QUOTE INFORMATION
Number of Stores:	One Multiple:
Estimated Purchase Date:	ASAP Other:
Current Software:	None Other:
Data Conversion Desired:	No Yes
Where did you hear about us	Trade Show/Convention Current Customer Web Search Engine Referral Other
Comments:

MODULE DESCRIPTION

CompuPawn for Windows
CompuPawn for Unix
CompuPawn Upgrade

Number of Users

OPTIONAL MODULES

Bar Code Printing Module
Drivers Licence Capture Module

OPTIONAL REVENUE ENHANCEMENT MODULES

Auto Title Loans Module
Pay Day Advance Module
Check Cashing Module
Money Order Module
Repairs Module
Consignments Module
Memorandums Module

OPTIONAL STORE MANAGEMENT MODULES

Security & Passwords Module
Extended Reports Module
Multiple Cash Drawers Module
Multiple Payment Types Module
Police/NCIC Module

OPTIONAL INVENTORY MANAGEMENT MODULES

Inventory Item Location Module
Jewelry Count Module
Store Transfers Module
Auctions Module
Product & Purchase Order Module

OPTIONAL ACCOUNTING MODULES

Credit Card Capture Module
Employee Time Clock Module
Accrual Module
Accounting Interface Module
General Ledger Module
Accounts Payable Module
Accounts Receivable Module
Payroll Accounting Module

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