Multichax® demo request form

Please provide information for all fields below to request a version of the MultiCHAX software to be sent to you. The demo version of MultiCHAX is available to be downloaded online for free, however, to have a cd mailed to you, there is a charge of $10, regardless of Edition.

* Name:
Firm Name:
* Address:
* City:		* State/Prov:
Country:		* Zip/Post. Code:
* Email:		* Phone:
Fields denoted with an asterisk (*) are required

Which demo version of MultiCHAX® are you interested in
(below each version are the features provided):

Enterprise Edition

Full Version Price:$499
3 methods of bank selection: 1)Automatic, 2)Semi-Auto, 3)Manual
Unlimited Bank Accounts
Full Security/User Features
Configurations available for Top, Bottom, Middle, 3 large, & 3 small checks
Capture from application directly
Automatic determination of bank account from check number
Print blank checks
Print blank deposit slip

Quickbooks Edition

Full Version Price:$399
2 methods of bank selection: 1)Semi-Auto, 2)Manual
Unlimited Bank Accounts
Full Security/User Features
Configurations available for Top, Bottom, Middle, 3 large, & 3 small checks
Capture from application directly
Automatic determination of bank account from check number
Print blank checks
Print blank deposit slips

How did you learn of our software?

Quickbooks

Search Engine (specify name of engine)

Referral (specify name of referral )

Other

Which accounting program are you currently using?

Please provide software name and version (e.g., Quickbooks 2004 Premier Edition)