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Most of the mainstream hosted CRMs out there are variations of basic contact list systems that are very basic by default – built to suit most businesses, whereby you often can spend a lot on a ‘per user’ basis when you could otherwise develop something similar with your existing systems in place already like Outlook, Google Apps, and cloud accounting systems etc. The mostly try and push you into their sphere of doing business through a ‘vendor lock’ type business model. Once you require more precise and specialised functionality for your business, then they are often limited out of box without significant investment in customisation and ongoing tweaks / maintenance. As said it really depends on what you really need to do without being diverted by a lot of amazing things these systems can magically do.