Contact/Enquiry form

	Your Contact Details * Indicates required field. First Name:*  Surname:* Company:* Address:*  Town / City: * Post Code: * State:*  Country:*   Fax: Telephone: * Mobile: Email: * URL: questionnaire What Product/s or Services are you interested in? Click on all that apply. GoBook XR-1 Duo-Touch Tablet PC GoBook VR-2 Implementation Pre Seller Product Support How did you hear about Avantec and/or our products? (trade show, via internet, news release, word of mouth) What is your market focus? Utilities Telco Insurance Government Aerospace Public Safety Field Service Other What types of application(s) will be run on the computer(s)? (CRM, Sale Force Automation, Asset management, defence, law enforcement, public safety, field service) When do you plan to purchase? 30 days 60 days 6 months 1 year Would you like this information: Mailed by Post Faxed Emailed Personal telephone call Would you like to receive future information on our products and services via e-mail? Yes