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Request Information or a Demo

We offer a full working version (no financial information included) of our software for a free 60-day time period. Please completely fill in the following form and upon receipt of your request we will contact you for verification.

All bold fields are required

Funeral Home Name:
Street Address:
City:	State: Zip:
Phone:	Fax:
E-mail:
Contact Name

AREAS OF INTEREST:
MIMS™	CIMS ™	Website Development
Video Tribute Software	Quickbooks/Peachtree accounting interface	Hardware Consultation

Do you presently have other funeral management software?	Yes	No
If yes, what system:
Data Conversion Needed?	Yes	No
Do you have Microsoft Office (MS WORD) Software?	Yes	No
What operating system are you currently using? (MIMS™ is not currently available for Apple OS computers)
Windows 98 Windows XP Windows Vista Windows 7 Other (Please Specify)

How did you hear about us?

Additional comments:

Please enter the letters from below. All letters are capital letters:

Thank you for taking the time to request a demo.