1.Contact Information
Contact Person:
*
Organisation:
*
Phone:
*
Fax: (Optional)
Office Address or PO Box:
*
City:
*
Country:
Australia
New Zealand
United Kingdom
United States
China
Fiji
Hong Kong
India
Indonesia
Japan
South Korea
Malaysia
New Caledonia
Papua New Guinea
Philippines
Singapore
Solomon Islands
Sri Lanka
Taiwan
Thailand
Vietnam
____________________
Albania
Algeria
American Samoa
Andorra
Anguilla
Antartica
Antigua & Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Botswana
Bouvet Island
Brazil
British Indian Ocean Terr.
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
Christmas Island
Cocos (Keeling) Isl
Colombia
Comoros
Congo
Cook Isl
Costa Rica
Cote D'Ivoire
Croatia
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Estonia
Ethiopia
Faeroe Islands
Falkland Isl. (Malvinas)
Finland
France
French Guiana
French Polynesia
French Southern Terr.
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey, C.I.
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Isl
Honduras
Hungary
Iceland
Ireland
Isle of Man
Israel
Italy
Jamaica
Jersey, C.I.
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Republic of
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Liechtenstein
Lithuania
Luxemborg
Macau
Madagascar
Malawi
Maldives
Mali
Malta
Marshall Isl
Martinique
Mauritania
Mauritius
Mexico
Micronesia
Moldova, Republic of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherland Antilles
Netherlands
Nicaragua
Niger
Nigeria
Niue
Norfolk Isl
Northern Mariana Isl
Norway
Oman
Pakistan
Palau
Panama
Panama Canal Zone
Paraguay
Peru
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts & Nevis
Saint Lucia
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Slovakia
Slovenia
Somalia
South Africa
Spain
St. Helena
St. Pierre and Miquelon
St. Vincent & Grenadines
Suriname
Svalbard & Jan Mayen Isl
Swaziland
Sweden
Switzerland
Tajikistan
Tanzania, United Republic
Togo
Tokelau
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Turks andCaicos Isl
Tuvalu
U.A.E.
U.S.Minor Outlying Isl
Uganda
Ukraine
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Viet Nam
Virgin Isl (British)
Virgin Isl, (U.S.)
Wallis & Futuna Islands
Western Sahara
Yemen, Republic of
Zaire
Zambia
Zimbabwe
*
State or Province:
*
Postal or ZIP Code:
*
Email Address:
*
2. Website Details
Please tick the boxes below that suit your needs:
Do you currently have a website?
Yes
No
Do you currently have an online store?
Yes
No
Website Address (URL):
If you do not have an online store, are you interested in having one developed (See below):
Yes
No
If you answered yes above, please specify the requirements you need your online store development to have so that we can put an accurate quote together for you...
If you already have a website/online store, who hosts it? i.e. ConcordNet, Destra etc
What system requirements does your online store require? ie PHP, MySQL, ASP etc...
If you have an online store, what software do you use:
--- Please Select ---
Oscommerce
Actinic
ATG Dynamo
Blue Martini
Broadvision
Erol
Intershop 4
Intershop Enfinity
Interworld
Metapack
Microsoft Commerce server
Prism
Shopcreator
Spark Response
ZenCart
Zendor
Other
If you chose other from the list provided, please specify the name of the ecommerce software you use:
If you have an online store, how many orders are you currently receiving:
1-300 per month
301-1000 per month
1001 + per month
What accounting software do you use:
--- Please Select ---
MYOB
SAGE
Quickbooks
Mamut
Other
What version of your accounting software do you use:
--- Please Select ---
MYOB
- Accounting v.14
- Accounting v.15
- Accounting Plus v.14
- Accounting Plus v.15
- Premier 9
SAGE
- Line 50
Quickbooks
Mamut
Other
2. Products & Services
3. Additional Information
4. How Did You Find DataLink Pacific?
(If "other", "Authorised Dealer or Agent", "MYOB" or "Consultant"
Please be specific in your answer i.e. the website that you found us etc)
--- Please Select ---
MYOB
Google
MYOB Certified Consultant
MYOB Professional Partner Program - Developers
Web Developer
Personal Computer Magazine
Business Review Weekly (BRW)
The Australian Newspaper
Television or Radio
Authorised Dealer or Agent
Yahoo
Altavista
Lycos
NineMSN
Looksmart
Other