Avistar Communications Corporation.

Sales Information Request

Name:*

Title:*

Company Name:*

Company Address:

City:

State:

Zip Code:

Country:

Email:*

Phone:*

Fax:

Please tell us your primary need for Avistar desktop video:

Video Calling/Conferencing (two-way)

Broadcast Video (one-way)

Video Creation & Publishing

Video Playback & VOD

Video Network Management

All of the Above

Please explain your desired application of use with Avistar:

How many users are you initially planning to video-enable?

In how many buildings are these users located?

0-3

3-10

over 10

How many users are you planning to video-enable within 12 months?

What is your time frame for purchasing Avistar?

<3 months

3-9 months

>9months

Please describe your role in the purchase of Avistar:

Business Executive/Management

IT Executive/Management

End-User

Reseller/Integrator

Other:

Please choose a category that best describes your business:

Request:

Appointment with a sales representative

Call from a sales representative

How did you hear about Avistar?

Please feel free to leave any comments: