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*
" indicates required fields
1
FACILITY TYPE
2
STATE
3
PACKAGE PLANS
4
CONTACT INFO
WHAT KIND OF FACILITY YOU HAVE
*
Select Type of Industry
Aviation
Business and Manufacturing
High Tech Corporate Campuses
Private Education
Life Science
Janitorial Companies
Integrate Facility Management Firms
Industrial
Arena
Entertainment & Cultural Venues
Stadiums
Casinos
Amusement & Theme Parks
Select Type of Industry*
SELECT THE STATE YOUR FACILITY OPERATES IN
*
Select the Location
Domestic USA
International
Location of Business *
PACKAGE PLANS
Number of Facilities
*
Select # Facilities
1-10
11-20
21-30
31-40
41-50
51-60
61-70
71-80
81-90
91-100
100+
Number of Employees
*
Select Number Of Employee
1-10
11-20
21-30
31-40
41-50
51-60
61-70
71-80
81-90
91-100
100+
Which package option are you interested in the most?
C+I LITE
C+I PROFESSIONAL
C+I ENTERPRISE
C+I CORPORATE
Add-On’s (Additional Cost)
10 Pack of C+I Licenses: $500 / Month
2 Pack of Touchless Feedback: $300 / Month
Configuration: $125 / Hour
Virtual Training: $125 / Hour
First Name
*
Last Name
*
Email
*
Phone
*
Company
*
In what are you interested?
*
-None-
TRAX Smart Restroom
TRAX Clean + Inspect
TRAX Touchless Feedback
Innovation Consulting
Digital Transformation Planning
Data Analysis
When are you looking to implement your project?
MM slash DD slash YYYY
How did you hear about us?
-None-
Facebook
Twitter
LinkedIn
Trade Show
Advertisement
Employee Referral
Google Search
Google AdWords
Customer Event
Partner
Purchased List
Webinar
Website
Other
Your Message or Questions
Phone
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