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Name
Company Name
Address
City
State
Zip
Phone
Fax
e-mail
Industry:
Retail
Education
Number of remote locations:
1-5 6-10 11-25 26+
Existing Hosts: (check all that apply)
Linux
Citrix
Reason for interest/Applicaton use (check all that apply)
Communication types:
ISDN
Wireless
I heard about these products from
Direct mail piece
Trade show/seminar
Display ad in magazine
Yahoo/Web search
Referral
Other