DataReel Commercial Support Form

Please submit this form to obtain further information about commercial support and services or a price quote. Optionally you may FAX a completed hardcopy to DataReel sales at: 413-622-7705. Once this form is received a sales representative will contact you within 24 to 48 hours.

    Application type:
    Other: (not listed):

    Which glNET services are you interested in?

    Other (not listed):

    How soon does the project need to be completed?

    What type of licensing will your project require?

    Other (not listed):

    Please supply us with a detailed description of you're project requirements:

    Name:
    Title:
    E-Mail:
    Company:
    Address:

    City:     ST:  Zip:
    Country:
    Tel:
    Fax:

    Reason for Inquiry:
    Other (not listed):

    Please reply via:

Thank you for taking the time to complete this form.