Clipstream Sales Enquiry Form

Clipstream™ Sales Enquiries
Please complete the form or contact us directly at 1-800-833-7846, x:252. We would like to know a little about you and your needs so that we can help you better. Privacy Policy

*the fields marked with an asterisk must be filled out

*First Name

Company

*Last Name

Address

Title

*City

*Email

*State/Province

*Phone (daytime)

*Country

*Postal Code

*URL


*Use:	Small	Medium	Large business
	Reseller
	Government
	Personal

Please choose a product:		Please choose an application:


	Other:

*I would like	Company Information Reseller Information Product Information Pricing	Demonstration Evaluation Copy Purchase Other

1. Are you currently working on a project that requires rich media? Yes No

2. If so, what is the time frame?

3. How many audio/video clips would you like to publish on your website?
*Note: Clips are defined as the actual number of audios or videos published to your web site at any given time. In other words, the number of clips encoded and uploaded to your HTTP server that are viewable on an active site. Not applicable to Clipstream Live, Email Campaign, Banner Campaigns, or Clipstream IVR Server.

4. Do you require any additional services?

	Encoding	Email Campaign
	Capturing	Banner Campaign
	Hosting	Production Services

5. Where did you hear about us?

6. Would you like to receive future updates & news on Clipstream? Yes No

7. Project Plan, Information or Additional Questions: