Qqest Strategic Alliances Division

Thank you for thinking of Qqest for your Client/Prospect’s Timekeeping needs. Please fill out the attached form as completely as possible and we will register this lead to you. Our channel Sales Representative will be in contact with you within 24 hours.

Use the form below to provide us with about you and your company, and your interest in this program.

Organization

Address

City

State

Zip

Number of Employees

Number of Locations

Client's Current Payroll Product

Client's Current Time Keeping Product

Decision Time Frame

1-3 Months

3-6 Months

6-12 Months

First Name

Last Name

Title/Position

Phone

Contacting Client/Prospect

Please contact me prior to contacting the Client.

Client is expecting your call please contact ASAP.

I will arrange for a conference call.

Additional Comments:

[

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August 19, 2008 8:00pm MST