Contact Info

Name:

Company:

Email Address:

Day Phone:

Evening Phone:

Street Address:

City, State, Zipcode:

Network Profile

Network Type:
wired cat5 or cat6
wireless access point
wired and wireless

Firewall or Router:
basic or cable provided router
commercial grade firewall

Antivirus brand and version:

Workgroup Profile

Number of Employees Using Computers:
less than 10
less than 100
less than 1000
more than 1000

Email Services:
Gmail, AOL, Yahoo, web based, etc.
in house email server
no email services

Computer ages and brands:

Comments

Any other info that you consider important?:

Verification Code:
Verification Entry: