Information Request Form

Please give us some information about your organization so we can customize a solution for you.

How many users do you currently have?

What type of network do you have?

1 - 20

Microsoft NT 4.0

Novell

20 - 40

40 and over

Unix or other

Business Type:

Are you ready for Y2K?

Service

Yes

Wholesale Distribution

No

Manufacturing

Undecided

Please use the space below for any additional comments:

Name:

Address:

City:

State/Prov:

Country:

Zip/Post. code:

Phone:

E-mail:

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To contact us:

Phone: 555-555-5555
Fax: 555-555-5555
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