Network and Development Services

1

Services/solutions you are interested in. Please indicate what topic you would like the consultation to be about:

Select Administration Wiring Services Installation VPN Data Backup Fault Tolerance Remote Access Resource Sharing Network Security Remote Access Other services

2

How soon do you need the service(s) / solution(s)?

Select ASAP 1-4 months 4-10 months 10 months or more

3

Please indicate a budget for the service(s) / solution(s)

Select Unknown $0-$5,000 $5,000 - $10,000 $10,000 - $20,000 $20,000 - $30,000 $30,000 - $50,000 $50,000 - $100,000 $100,000 or more

4

How many workstations in your company?

Select 0-10 11-20 21-30 31-50 50-100 100 or more

5

How many servers in your company?

Select 1 2 3 4 5 6 or more

6

How many different locations/sites for you offices

Select 1 2-5 6-10 10 or more

7

Main Operating System in use on workstations

Select Windows 95/98/Me Windows NT Windows 2000 Windows 2003 Windows XP Windows Vista Macintosh OS UNIX Linux Other

8

Main Operating System in use on servers

Select Windows 95/98/Me Windows NT Windows 2000 Windows 2003 Windows XP Windows Vista Macintosh OS UNIX Linux Other

9

Would you be interested in Comservco’s services for LAN, WAN, VPN and/or workstations maintenance/support?

Yes No

If yes, how many hours per week would you need assistance for?

Select 1-8 Hrs 8-20 Hrs 20 or more

 Contact Information

1

Name

2

E-mail Address

3

Industry

Select Legal Financial Insurance Information Technology Other

4

Company

5

Title

6

Address 1

7

Address 2

8

City

9

State / ZIP

/

10

Website URL

http://

11

Daytime Telephone

12

Preferred Contact

I will contact you Call me Email

Enter the code as it is shown (required):