Contact KIS for Kiosk RFP

Name
Company Name
Address
City
State/Province
Zip
Country
E-Mail
Phone
Fax
Size of Company
Approximate Company Revenue

What is the timeframe during which you will want these kiosks to be completed?

Is there a budget amount that you need these kiosks to be priced?

Could you tell me who, in your organization will be authorizing the purchase of these kiosks should KIS be selected as your provider?

Have you seen a kiosk model on our website (www.kis-kiosk.com) that you like?

Can you tell me how many kiosks you need?

Card Readers
Simple Swipe
An Insert style (more reliable)
Smart Card capability (extra money)
Not sure

Monitors
15" Touchscreen
17" Touchscreen
15" LCD (no touch)
17" LCD (no touch)
No Touchscreen or monitor
Not sure

Printer
80mm
112 mm
Full page
Laser
Color

More Peripherals
Keyboard
Trackball
Bill Acceptor
Bar Code Scanner
Video Camera
Speakers
Proximity Sensors

How would you like us to contact you?
Call Fax E-mail Mail Information

How did you find out about us?

If Other, please specify:

Any additional information you would like to provide?