Quotation

Quotation

If you want to receive a quotation about Game System Plus, please, complete the following Application Form.
Remember, if you need to make any query is available our e-mail address: info@cointech.com.ar
The fields with the symbol (*) are required

CONTACT INFORMATION
Name (*)
E-mail address (*)
Phone (*)

COMPANY INFORMATION
Company name (*)
Country (*)
City/State
Web site

GENERAL INFORMATION ABOUT THE FECS
Trade name
Amount of FECs in functioning
FECs in project of opening in the next 12 months

Are the FECs managed from corporative offices ?	Yes No
What is the system’s name ?

REQUEST YOUR QUOTATION HERE
FEC information required for the quotation
Country
State / Region / Province
City
Do you need access control ?	Yes No
How many games do you have or you are going to have ? (*)
How many points of sale do you have or youare going to have ?
Do you have or you are going to have Redemption Games? (papers tickets)
Do you have, or you are going to have...	Fast food Restaurant
Do you have or you are going to have Retail Sales?	Yes No
Do you have any system to control these services ?	Yes No
Is your FEC presently open ?	Yes No
Estimated opening day


FINAL COMENTARY
Enter here any comment that you want to do and that has not been included previously in the form.