©2014 Netronix Corporation ·5 Executive Court · Suite 2 · South Barrington, IL 60010

*Orders placed after the discount deadline are subject to availability and do not guarantee equipment reservation.

**Optional "scanner network setup" allows a single printer to receive print commands from multiple scanners.

DESCRIPTION QTY x Price = Total

Official Lead Retrieval Form

Collect leads at the 2014 ANCC NATIONAL MAGNET CONFERENCE®! Every attendee will have a barcode on their badge containing their contact information.

Total

� Simple interface with green aiming bar

� Compact, portable and requires no power in the booth

� Easily browse leads, add notes and update qualifiers

� MS Excel format opens in most spreadsheet programs

� Leads emailed at the close of the event

� Random prize drawing feature!

Send Completed Forms To: Netronix Corporation

5 Executive Court - Suite 2

South Barrington, IL 60010

Fax: (847)277-7414Email: leads@goESHOW.com

Ordered by 09/19/14

$425.00

Ordered After 09/19/14

$475.00

Starter Scanner: BATTERY POWEREDCapture leads with our compact, portable, original, scanner. No keyboard or typing, simply point and shoot. Use up to 16 qualifiers for notes (see Qualifier form). Leads emailed atthe close of event in excel file format. BATTERY POWERED

Ordered by 09/19/14

$325.00

Ordered after 09/19/14

$375.00

Optional Wireless Portable Printer: BATTERY POWEREDPrints leads as you scan. Requires scanner unit(s)** for operation. Works with the Premium Scanner and Starter Scanner.

Ordered by 09/19/14

$75.00

Ordered after 09/19/14

$125.00

CONTACT/PAYMENT INFORMATION Company Name Booth Number

Company Address

City State Zip Code Country

Phone Number

On-Site Contact Name

Email Address

PAYMENT METHOD (circle one) Visa Mastercard AMEX Discover Check*

Name on Card Card Number Expiration Date

*Make Checks Payable to Netronix Corporation

Features

Signature Date

TERMS & CONDITIONAll equipment is offered on a rental basis and must be returned to the Lead Retrieval Desk at the start of the scheduled exhibit breakdown period. All equipment is the sole responsibility of the exhibitor during the rental period. Lost or damaged equipment is subject to an additional charge, up to the full replacement cost of: $2,300 per scanner and $695 per printer. No refunds or cancellations will be accepted after 09/19/14. By signing this form you agree to all terms. Upon receipt of your order, you authorize immediate processing of payment using the method selected. EMAIL CONFIRMATION REQUIRED. If you have not received an email confirmation within 48 hours of form submission, please contact eShow staff. Questions? Call or email: (847)620-4499 or leads@goESHOW.com

Pocket Sized! No Electricity

Required!

4.5"x

3.75"

x1.35

"

CC: Email

NEW! Premium Scanner: BATTERY POWEREDCapture leads with our compact, portable sanner. Ability to type notes using on-screen QWERTY keyboard. LCD touchscreen display, on-screen editable qualifiers. Immediately download leads to your portable USB drive, leads are also emailed at the close of the event in Excel file format.

Official Lead Retrieval Order Form

Questions? Call or email us: (847)620-4499 | leads@goeshow.com

©2014 Netronix Corporation ·5 Executive Court · Suite 2 · South Barrington, IL 60010

MAILING LIST ADD HAVE REP CALL OEM SCHEDULE DEMO

CURRENT CUSTOMER HOT LEAD! PRODUCT A SEND LITERATURE

DISTRIBUTOR INQUIRY ONLY PRODUCT B SEND PRICING

CAN PURCHASE INTERESTED BUYER PRODUCT C PRESENTATION

1._______________________________ 9.__________________________________

2._______________________________ 10._________________________________

3._______________________________ 11._________________________________

4._______________________________ 12._________________________________

5._______________________________ 13._________________________________

6._______________________________ 14._________________________________

7._______________________________ 15.__________________________________

8._______________________________ 16.__________________________________

Lead Retrieval Custom Qualifier Form

eShow is happy to provide qualifiers with no additional charge. Keep your leads organized by qualifying each lead with your own personalized, pre-determined notes. You may select 16 codes, up to 22 letters per code. Please do not select open ended questions.

If you choose not to use custom qualifiers for your scanner, the following standard codes will be programmed:

Company Name Booth Number

2014 ANCC NATIONAL MAGNET CONFERNCE ®

Limit 22 Characters per Qualifier Code

Fax, mail or email this form along with your order form.

Qualifiers will be programmed into your scanner at the event.