POS Upgrade or New Install Form – On-demand support, parts sourcing, or a tech to your door.

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POS Upgrade or New Install Form

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Name *

First

Last

Company Name

Is the service address different from your billing address?

No
Yes

Company Address *

Address Line 1

Address Line 2

City

State

Zip Code

Service Address

Address Line 1

Address Line 2

City

State

Zip Code

Is your service phone number different from your billing phone number?

No
Yes

Contact's Phone *

Company Phone

Email *

Number of POS Stations Needed

POS Device Selection *

ELO Touch 17"
Cash Drawer
Receipt Printer
Barcode Scanner
Customer-Facing Display
Credit Card Terminal
Network Switch
Back Office Server
UPS Backup
Wire Runs

How many?

Preferred Install Date

Requirements Number Is

Additional Notes / Special Requirements

Preferred Method of Contact *

Email
Phone
Text

*

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