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1. Are you interested in a free on-site analysis?
2. How would you like to be contacted?
 
3. What is your company name (or Home)?
4. Who is the technical contact?
5. What is your address?
6. What is your phone number?
7. How many computers do you have at this location?     
8. Are the computers networked?
9. Do you have Internet access?
10. If so, what type of connection?
11. Do you have a website?
12. If so, what is the address?
13. What services are you interested in?
14. How did you hear about us?