Request for Proposal - Brownstone Technology Solutions

Fields marked with an "

" are required

First Name*
Last Name*
Street Address*
Street Address
City*	State* Zip*

Phone 1*	Type of Phone*
Phone 2	Type of Phone
Email Address*
Verify Email Address*
Location Address (if different from above) Same Address
Street Address*
Street Address
City*	State* Zip*
Type of Service Requested*
In what type of business will this POS be used?
What type of POS service are you interested in?
Is On-Site Installation Required?	Yes No
Is On-Site Training Required?	YesNo
How many business location do you need the POS?

What input device(s) will your POS system to utilize?
Within each of your business locations, how many of the following POS components will you need?
Hardware	Quantity
POS Terminals with cash drawer
POS Terminals without cash drawer
Impact Printers(for kitchen or bar orders, etc)
Receipt Printers
Creadit card magnetic strip readers
Proposal Need By:
Date Service To Begin:
Other Information
Type the code shown Refresh
Low PriorityHigh Priority