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VINCI Enquiry Form
Contact Details
Company Name:
Contact Details:
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(Search existing)
First Name:
Last Name:
Best Contact No:
Email:
State:
ABN:
Services & Licences
Number of User Licences Required?:
1 - 5
5 - 10
11 - 50
50 - 100
Over 100
Approx Number of Licences:
Service Areas:
DVA
Early Intervention
Life Insurance
Medicare
NDIS
Other
Pre-Employments
RTWSA (Enable Unit)
WorkCover NSW
WorkCover QLD
WorkCover TAS
WorkCover WA
Workers Compensation
Other service areas:
Integration Features & Data Migration
Do you use Office 365 for your emails?:
No
Yes
Who do you use for your email hosting?:
Do you need assistance moving emails over to Office 365?:
No
Yes
Do you need your existing data migrated?:
*
No
Yes
Approximate how much data would you need migrated (eg. Years and type of data):
What is your current software?:
*
What features would you use?:
Appointment / Calendar Integration
DVA / Medicare Integration
Email to Fax
Employment Hero Integration
Electronic Signature Module
Mobile App
SMS
Smart Forms
VINCI Task Analysis APP
WorkCover QLD B2B
Other
What other features would you like?:
Do you need to integrate your accounting software?:
No
Yes
Which bookkeeping software do you use?:
Would you like a complimentary 30 minute Demo:
No
Yes
How did you hear about us?:
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captcha:
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