This is a special iseemedia customer program designed to help customers discover if they need the iseemedia ImageServer 5 for their image and document image content life cycle and get a trial server up and running as quickly as possible.

We would like to demonstrate the benefits of ImageServer 5 to you. If you send us some of your typical images or documents, we will process them on ImageServer 5 and then arrange an on line webinar/demo to discuss your particular application. To do this please complete the demo application form below and an iseemedia support representative will contact you to get your image specifications and discuss your particular requirements.

Once the demo is complete and if ImageServer 5 looks like the right solution for you will arrange for a 30-day trial server or alternatively set up a more detailed meeting to define your requirements (for a custom application like field service) and develop a more Detailed Product Specification for you.

Name:	Position:
Company:	Street Address:
City:	Province/State:
Zip/Postal code:	Country:
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Phone:	Company Website Address:
Email
Nature of Business:
E-business  Education  Reseller End User
Number of Employees:	Select one 1-100 101-500 501-1,000 1,001-5,000 5,001-10,000 10,001+
Which vertical markets do you work with?
E-tailer  Online catalog  Not-for-profit    Education  Real Estate
Media  Portals    Travel/Tourism Art & Museum Manufacturing
Other (please specify)
How do you host your web site?
Internally  ISP  Other
Will you be making the final decision?
Yes  No
Is there a budget in place for an Image Server?
Yes  No
What is your timeframe for implementing an Image Server? Select one 1 month 3 months 6 months 12 months
Which ImageServer features are you most interested in?
Resolution on Demand Multiple resolution images Image Management
3D Objects with Zoom Virtual Tours Panoramas Color Correction
Reduced cost of managing images and preparing them for the web-site
How many images do you have?	Select one 1-500 501-1,000 1,001-5,000 5,001-10,000 10,001+
What other information can our sales representatives provide you with that would be helpful in making a decision about our product?
Pricing matrix  White Paper  Evaluation copy ASP license
Choose Platform:	select platform Windows Sun Solaris Red Hat Linux
Any other comments / Where did you hear about the ImageServer?