Personal Information:

    First Name:      
    Last Name:       
    Job Title:       
    Company Name:     
    Address 1:       
    Address 2:        
    City:            
    State/Province:  
    Country:         
    Zip/Postal Code: 
    Phone Number:    
    Fax Number:      
    E-mail address:  

More information:

Is the above information for: Work Home

If you answered "Work" to the above question, please answer the following questions:

Business name or institution:
Position:

Approximately how many employees are there at your location?:
1-19 20-99 100-499 500-999 1000+

Type of organization:
Legal Medical Manufacturing Service Government Education Other

Vertical Markets. (Please check all that apply):

What size organization does your company sell to or service? (Check all that apply):
01. Fortune 1000
02. Large (Over 1000 Employees)
03. Medium (100-999 Employees)
04. Under 100 Employees
05. None of the above

Computer Information:

Other Information:

Have you ever purchased anything online for your home? Yes No

Have you ever purchased anything online for your office? Yes No

How do you back up your computer at work?

01. Hard drive 03. Diskette 05. 8mm 07. QIC cartridges 09. 3480/3490 1/2" Tape Cartridges 11. 3.5" Optical 13. Other

02. LAN 04. 4mm 06. Travan Minicartridge 08. DLT (Digital Linear Tape) 10. PD Optical 12. 5 1/4" Optical

How often do you back up your data?
Never Daily Weekly Monthly Unknown