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You Are Here:  Tangentia  ·  Impact of HIPAA 5010 and IC-10

Just a few questions – We promise it’ll be quick

Name*
(as a boutique firm we really like our customers)
Telephone Number:
(if you would like us to call you)
Email Address:*
(really important in today’s connected world)
Company Name:*
Company Website:*
(so we do our homework before we contact you)
How can we help you?*
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Just a few Questions – It will be Quick

First Name:
Last Name:
Email Address:
Contact No:
Company Name:
Position in Company:
Major ERP/WMS systems supported:*
Do you integrate EDI Solutions:
Do you Sell EDI Solutions:
Amount of EDI software/ solutions/ services sales per year:
Type of EDI Solutions you work with:
If Third Party please name the software/provider:
Besides ERP do you resell other software or hardware:
Would you like one of our partner executives to send you all our program details
Do you want to join our monthly partner information webinars:


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