DOMINION MESSENGER
Box 1544
Edmonton, Alberta
Canada  T5J 2P3
NEW SYSTEM CUSTOMER QUESTIONNAIRE
For more information about Dominion Messenger's online system,
please fill out the following contact information.

OFFICE MANAGER CONTACT
Name:  Phone #: 
Email: 

ACCOUNTS PAYABLE CONTACT
Name:  Phone #: 
Email: 

I.T. (TECHNICAL) CONTACT
Name:  Phone #: 
Email: 

Do you have internet access?  YES     NO
If YES how many users: 
Access to the Internet at their workstation?  YES     NO
Would you like everyone to login and order from their station?  YES     NO
if NO from one station?  YES     NO

Please list First name & last initial of users if applicable. This is to enable
client on-line ordering & delivery tracking- Internet login access.

(One username per line please)

LAYOUT & DESIGN BY RACKNINE
webmail: /webmail