Please fill in the following information as accurately as possible and click the button. We are looking forward to working with you! General Information about you and your business First name: Last name: Organization: Title: Department: Address: Address 2: City: State: Select a state please AA AE AK AL AP AR AS AZ CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TT TX UT VA VI VT WA WI WV WY Zip: Phone: Fax: E-mail: Site(s) Info How many locations do you have? What operating systems do you use? Please check all boxes that apply: AIX AS 400 BSD / Free BSD / Net BSD / Open BSD DOS LINUX (Any) LINUX (Debian) LINUX (Red Hat) LINUX (SuSE) MAC OS X Netware (Novell) Solaris (Sun) Sun OS UNIX (any) VAX Windows 2000 Advanced Server Windows 2000 Data Center Server Windows 2000 Professional Windows 2000 Server Windows 3.x Windows 95 Windows 98 Windows Millennium Windows NT Server Windows NT Workstation Windows Server 2003 Windows Small Business Server Windows Small Business Server 2003 Windows XP Home Edition Windows XP Media Center Edition Windows XP Professional Windows XP Tablet PC Edition What databases do you use? Please check all boxes that apply: ACT Access 2000 Access 97 Access XP DBASE Filemaker Foxpro Goldmine MSDE ORACLE PARADOX SQL Server 2000 SQL Server 6 SQL Server 7 What kind of computer network do you have? Please check all boxes that apply: ADSL / DSL / SDSL Arcnet Cat 3 Cable Cat 5 Cable Citrix Ethernet 1000M / 1G Ethernet 100M Ethernet 10M FDDI ISDN OC3 / OC12 /Highcap REMOTE LAN / WAN ACCESS SSH / STUNNELS Satellite Downlink Satellite Uplink T1 / OC1 Token Ring VPN Wireless LAN Wireless WAN How many PCs do you have? Are your PCs networked? All None Some Do your PCs have Internet connectivity? All None Some How many printers do you have? Where do patrons pay for copies? Please check all boxes that apply: Paystation Workstation How many microfiche readers? How many copiers? Are you interested in print control? No Yes Are you interested in timed access? No Yes How should we contact you? Please make a selection e-mail fax mail phone What is the time to contact you? Please select a time Early morning Mid morning Noontime Early afternoon Mid afternoon Late afternoon Early evening Mid evening Late evening Late late Anytime Additional comments about how we might help you?