Technology Assessment Request Company First Name Last Name Position Phone Email Street Address City AKALAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYZip code Your Computer EnvironmentNumber of Locations 12-45-78-10More Than 10Not SureNumber of PC's in your organization Less Than 56-2526-5051-7576-100More Than 100Not SureNumber of servers in your organization 12-45-78-10More Than 10Not SureWhat is your primary server operating system Windows 2000Windows 2003Windows 2008OtherNot SureWho currently handles your IT needs In-House StaffConsulting FirmIndependent ConsultantNot SureNeedsImmediate SupportProject ExpertiseOngoing SupportWhere did you hear about us Yellow PagesNewspaperMailingDirect ReferralNetworkingOtherAdditional comments or immediate issues
