End User Lead Form

(* Required Fields)

* Name:

* Title:

* Company:

* Address:

Address 2:

* City:

* State:

* Zip: -

* Phone:

* Fax:

* E-mail:

Optional Details

Type of Business:

# Employees:

# Sites:    Sq. Ft.:

Comments:

Administered by?

Used by?

How Assets Depreciated?

Charge Back?

Yes    No

Req. Inventories?

Yes    No

Last One?     Next One?

Who does inventory?

How long?

years    Results Type:

Comments:

Est. Facilities Dept?

Comments:

Resp. of FM Dept:

3/Emp/FM:

Inside/Outside Design:

CAD System:

Other FM Automation Tools:

Any Budgeted?

Yes   No     Fiscal Year:

Installed Furniture:

Manufacturers:

% Case Goods:

     Standard Program:

% Systems:

     Standard Program:

% Space Reconfigured Annually?

Steps in Reconfiguration:

Areas For Improvement?

Upcoming Facility Changes?

When?

Warehouse Furniture?

Yes   No     Locations/Sq. Ftg.?

Warehouse Inventory Tracked?

Yes   No