Our 90 Second Questionnaire

Please fill out this short questionnaire so we can supply you
with relevant information & products that best serve your needs.

Or, call our courteous customer care representatives at 717-328-3842.
Leave your Name, Phone Number, Company Name, and Best Time To Call.

1. Please enter your name: First

Last
2. Please enter your company name:
3. Please enter your company address: Street

City

State

ZIP
4. Country where you live?
5. Please enter your phone number:
(xxx-xxx-xxxx)
  ext.
Home
Work
6. Please enter your FAX number:
(xxx-xxx-xxxx)

Can we FAX you about local computer events?
Yes
No
7. Can one of our representatives contact you?
 
 
What is the best time to phone you?
Yes
No

8. Do you have a website?
 
Please enter your website URL:
Yes  No

9. Are your computers networked?
 
How many nodes/users? 
 
 
If so, what topology are you using?
 
 
What network O/S are you using?
 
 
 
 
What protocol are you using?
 
 
 
 
What network hardware are you using?
Yes  No     

Point-to-Point  Mesh  Bus  Star  Ring  Hybrid

Unix  Novell  IBM  Windows  OS/2  DEC  Banyon  LANtastic  SystemX.X  
 Other

IPX/SPX  NetBEUI  DLC  TCP/IP  ODI  AppleTalk  ARCnet  X.25  
 Other

Router  Hub  Tape Backup  Switch  Power Protection  Network Printers  
 Other

10. Please enter your e-Mail address: Can we put you on our E-mail distribution list?
Yes
No

Thank You for your time and information. All information is for the sole internal use of
Systems Integration Technologies and is never sold or distributed to third parties.

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