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BG Technologies
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Intake form
Help us serve you better
Name
*
Email address
*
What type of service are you interested in?
Please select at least one option.
Custom OEM self-service kiosks
Self-checkout systems
Video signage
Vending machines
ATMs
Quality Assurance consulting
Software development
3D design and renders
What is your preferred method of contact?
Select
Email
Phone
In-person
What is your project timeline?
Select
Immediate
Within 1 month
1-3 months
3-6 months
More than 6 months
What is your budget range for this project?
Select
Less than $5,000
$5,000 - $10,000
$10,000 - $25,000
$25,000 - $50,000
Over $50,000
Please provide details about your project requirements.
Have you worked with self-service technology before?
Select
Yes
No
What industry does your business operate in?
Select
Retail
Hospitality
Healthcare
Transportation
Education
Entertainment
Additional questions or comments
Submit
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