Full Name - (First, Last)
 
Company Name -

Your Title -

Email Address -

Phone Number - (555-555-5555 format)
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Questions/Comments

Users & Computers
Number of Computers -
Number of Users -

Server(s) Information
Does your company have a server?
Yes No
If so, what type is your server?
Windows Unix/Linux
If Windows, is it a domain server?
Yes No

Email Information
Is your email in-house or is it hosted?
In-house Hosted
Is your mail Exchange or Linux/Unix?
Exchange Linux/Unix

Network Information
What kind of internet service do you have? -
Cable DSL T1 Other
Do you have wireless at your location? - Yes No