Contact Information Section:

Name *	City/State/Zip
Title	Phone *
Company *	Email *

Infrastructure Information Section:

Projected Storage Needs (uncompressed)	Please Select.............. Less Than 1GB 1GB to 10GB 10GB to 20GB 20GB to 50GB 50GB to 75GB 75GB to 100GB 100GB to 150GB 150GB - 200GB Over 200GB
Number of Locations
Number of Servers
OS types (Microsoft, MAC, Linux etc.)
Current backup petition policy	Please Select.............. Don't Have One 1 Week 2 Weeks 3 Weeks 1 Month 2 Months 3 Months or more
Current ISP for Internet Access
Type and Size of Internet Connection	Please Select.............. DSL under 512K DSL 512K - 1.5MB DSL over 1.5MB Fractional T1 T1 Fractional T3 T3 Over 45MB

Anticipated Start Date
ASAP 2-4 Weeks This Quarter

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