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Information About You
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Salutation
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__Salutation__
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First Name
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__FirstName__
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Last Name
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__LastName__
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Company
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__Company__
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Self-Employed
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__SelfEmp__
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Address Line 1
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__Street1__
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Address Line 2
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__Street2__
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Address Line 3
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__Street3__
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City
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__City__
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State/Prov.
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__State__
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Postal Code
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__Postal__
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Country
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__Country__
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Building
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__Bldg__
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Floor
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__Floor__
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Suite
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__Suite__
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Room
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__Room__
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Gate
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__Gate__
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Phone
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__Phone__
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Extension
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__Ext__
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Voice Mail
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__Vmail__
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Fax
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__Fax__
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Mail Stop
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__Mstop__
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E-mail Address
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__Email__
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Information About Your System
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System Serial Number
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__SerialNo__
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System Administrator's Salutation
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__SaSalutation__
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System Administrator's First Name
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__SaFirstName__
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System Administrator's Last Name
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__SaLastName__
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System Administrator's E-mail Address
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__SaEmail__
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System Administrator's Phone
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__SaPhone__
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Planned Use #1
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__AppSeg1__
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Planned Use #2
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__AppSeg2__
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Planned Use #3
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__AppSeg3__
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Other Planned Use
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__AppSegOther__
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Application #1
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__App1__
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Application #2
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__App2__
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Application #3
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__App3__
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Other Application
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__AppOther__
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Custom In-house Software
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__CustomApp__
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System Configuration
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__SysConfigMsg__
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Computing Platforms
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Silicon Graphics: __SysSGI__
Apple: __SysApple__
Convex: __SysConvex__
Cray: __SysCray__
DEC: __SysDEC__
Evans: __SysEvans__
Hewlett-Packard: __SysHP__
IBM: __SysIBM__
Intel: __SysIntel__
Lockheed: __SysLockheed__
Quantel: __SysQuantel__
Sun: __SysSun__
Windows 95 or 3.x: __SysWin95__
Windows NT: __SysWinNT__
Other: __SysOther__
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Connection to WWW
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__ConnectWWW__
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Connection to Internet
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__ConnectInet__
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Your Comments and Suggestions
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Function Properly
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__AfterInstall__
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Shipment Arrival
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__ShipArrive__
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Shipment Completion
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__ShipComplete__
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Delivered Professionally
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__ShipHandle__
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Installation
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__Install__
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Integration
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__Integrate__
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Purchase Experience
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__PurchaseExp__
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Overall Experience
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__OverallExp__
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Additional Comments
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__ExtraCmt__
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