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For Windows Solutions Call ACOM at 800-699-5758


For iSeries (AS/400) Solutions Call ACOM at 800-603-6768


For B2B eCommerce Solutions Call ACOM at
800-699-5758

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Items with an (*) must be completed for proper submission.

On what operating system is your Financial Application hosted?*
Windows/NT Unix iSeries (AS/400)
What Financial Application/ERP Software do you use?*

If Other, please specify:

How did you hear about ACOM?

If Other, please specify:
Please select all solutions of interest to you:
Document Output and Management Payment Management
Electronically Capture, Distribute,
      and Manage Documents
Create & Print Your Own Forms
eMail Forms
Fax Forms
Create & Print Labels
Save Forms as PDF documents to
      post on web or save for later use.
Create & Print Checks & Remittances
Send Electronic Payments
Send Direct Deposits (payroll)
Send Electronic Remittances
     (via email, fax, FEDI)
Save Payments & Remittances as PDF
     documents to post on web or save for
     later use.
 
B2B eCommerce Management Equipment & Supplies
Data Translation (EDI, XML, Flatfile)
Back-office Integration
Communication between partners
Create & post interactive web forms
Xerox Network Printers
      (MICR-enhanced by ACOM)
Post-processing equipment
      (folders & sealers)
MICR toner
Blank security check stock
 
Contact Name:*
Company Name:*
Email:*
Phone:*
Job Function:

If Other, please specify:
Position:

If Other, please specify:
Address:
Address (cont'd):
City:
State/Province:
Zip:
Country:*
Question/Request:

ACOM Solutions
2850 E. 29th Street · Long Beach, CA 90806-2313
Phone: (562) 424-7899 · Fax: (562) 424-8662
©2007 ACOM Solutions, Inc.