Company Name: *

Contact Name: *

Phone Number:

E-Mail Address: *

Street Address:

City:

Postal code

Number of Locations: Select 1 2 3 4 5 6+ not sure

Number of PC's in your organization: Select 1-5 6-12 13-20 21-49 50-99 100-199 200+

What desktop Operating System is most prevalent at your location: Select Windows 2000 Windows XP Home Windows XP Pro Windows Vista Home Windows Vista Business Windows 7 Home Windows 7 Pro Other Not sure

Number of servers in your organization: Select 1 2 3 4 4 5 6-10 11-20 21+ not sure

What server Operating System is most prevalent at your location: Select Windows 2000 Server Windows 2003 Server Windows 2008 Server Unix/Linux Novell Solaris Mac Server OS Other Not sure

Who currently handles your I.T. needs? Select In-house Staff Individual Consultant Third-party IT firm Not sure

Do employees / business partners access your system remotely? Yes No

Where did you hear about our Free Network Assessment?

Any immediate issues / concerns?

Comments

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