Kiosk Hardware Solutions  


PODIUM QUOTATION REQUEST FORM


1. Display:

17" TPS-797 Head
19" TPS-799 Head Stainless Steel
17" IBM Anyplace Head
 
2. Options (Check all that apply):
Printer Tray
Keyboard Tray (Not available for 32")
Barcode scanner
Fingerprint reader
Card swipe
RFID reader
1.8 megapixel camera
Rectangular Sign Panel
Oval Sign Panel
 
3. Application:

What is this Kiosk going to do?: 

 

What application software do you plan to use?: 

 
4. Requirements:
Quantity:

Date initial unit required:  

Projected date of roll-out: 

Is this project funded?  Yes   No, not yet

Preferred Payment Options:  Purchase   Lease    Rent
 

Other:

How did you hear about us?:  Google   Yahoo    Referral
 

General Information:
Company
Name
Address
City State/Province Zip/Postal Code
Country (if not U.S.)
Phone # Fax #
E-mail


Instruments & Equipment Company  -  2 Wilson Drive  -  Unit 1  -  Sparta  -  NJ  -   07871

Phone: 973-579-0009 or 800-432-1255  -  Fax: 973-579-6665  -  email: iepos@iepos.com