Demonstration and Information Request     Section 1: Contact Information Administrative Contact   Title   Company Name   Address 1   Address 2   City   US State / CAN Province   - Choose one - --------------- Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas U.S. Minor Outlying Islands Utah Vermont Virgin Islands of the U.S. Virginia Washington West Virginia Wisconsin Wyoming --------------- Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon Other State / Province   Zip Code / Postal Code   Country   United States Canada United Kingdom --- Africa --- Algeria Benin Burkina Faso Burundi Cameroon Cape Verde Central African Republic Chad Comoros Congo Cote D’Ivoire Djibouti Egypt Equatorial Guinea Eritrea Ethiopia Gabon Gambia Ghana Guinea Guinea-Bissau Kenya Lesotho Liberia Madagascar Malawi Mali Mauritania Mayotte Morocco Mozambique Namibia Niger Nigeria Reunion Sao Tome and Principe Senegal Sierra Leone Somalia South Africa St. Helena Sudan Swaziland Tanzania Togo Uganda Western Sahara Zaire Zambia Zimbabwe --- Antarctica --- Antarctica --- Asia --- Afghanistan Bangladesh Bhutan Brunei Cambodia China Hong Kong India Indonesia Japan Kazakhstan Kyrgyzstan Laos Macau Malaysia Maldives Mongolia Nepal Pakistan Philippines Republic of Korea Russia Seychelles Singapore Sri Lanka Taiwan Tajikistan Thailand Turkmenistan Uzbekistan --- Australia --- American Samoa Australia Federated States of Micronesia Fiji French Polynesia Guam Kiribati Marshall Islands Nauru New Caledonia New Zealand Northern Mariana Islands Palau Papua New Guinea Pitcairn Solomon Islands Tonga Tuvalu Vanuatu --- Caribbean --- Anguilla Antiqua and Barbuda Aruba Bahamas Barbados Bermuda British Virgin Islands Cayman Islands Dominica Dominican Republic Grenada Guadeloupe Haiti Jamaica Martinique Netherlands Antilles Puerto Rico St. Kitts and Nevis St. Lucia St. Vincent and the Grenadines Trinidad and Tobago Turksand Caicos Islands --- Central America --- Belize Costa Rica El Salvador Guatemala Honduras Nicaragua Panama --- Europe --- Albania Andorra Armenia Austria Azerbaijan Belarus Belgium Bulgaria Croatia Cyprus Faroe Islands Finland France Georgia Germany Gibraltar Greece Greenland Hungary Iceland Liechtenstein Lithuania Luxembourg Malta Metropolitan France Moldova Netherlands Norway Poland Portugal Spain Svalbard and Jan Mayen Islands Sweden Switzerland The former Yugoslav Republic of Macedonia Turkey Ukraine United Kingdom Vatican City Yugoslavia --- Middle East --- Czech Republic Denmark Estonia Ireland Israel Italy Jordan Kuwait Latvia Lebanon Oman Qatar Romania Saudi Arabia Slovakia Slovenia Syria United Arab Emirates Yemen --- North America --- Canada Mexico United States --- Other --- Bahrain Bouvet Islands British Indian Ocean Territory Christmas Islands Cook Island East Timor French Southern Territories Heard and McDonald Islands Mauritius Monaco Montserrat Myanmar Niue Norfolk Island Samoa WS Cocos (Keeling) Islands San Marino St. Pierre and Miquelon Tokelau United States Minor Outlying Islands Wallis and Futuna Islands --- South America --- Argentina Bolivia Brazil Chile Colombia Equador Falkland Islands French Guiana Guyana Paraguay Peru Suriname Uruguay Venezuela Phone   Fax   E-mail   Company Website   Preferred Method of Contact   Phone  E-mail  Number of Employees   Number of Sites       Section 2: Additional Information Current system used   How did you hear about us?   Print Advertising Internet Advertising Web Search Customer Referral Partner Referral Other Referral Description   What shift scheduling issues are most important to your organization?       Section 3: Demonstration and Information Request Please have a shift scheduling application specialist contact me to schedule a demonstration  (please indicate 2 or 3 best times in comment section below)   I would like more information on: (Please check all that apply) Digital Solutions Inc.   SeePoint Kiosks       Additional Information, Comments and Prospective Web Demonstration Times:   You will be contacted by a customer service representative within 2 business days to schedule a web demonstration and complete your information request. Please complete all fields in this form for the best response.   Home    About ScheduleSoft     Solutions  Support     Alliances     Contact Us     Site Map