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Welcome to our Free Network Assessment Form. This offer is only valid for companies in Los Angeles and Orange County . We will provide you with a one-hour, on-site diagnosis of your network and computer infrastructure. We will then provide you with a written report on our findings. Our hope is to earn your business; however there is absolutely no cost and no obligation. You are free to use this information in the best way you see fit.

Please provide us with the following information about your company:


Contact Information
 Company Name: *
 Contact Name: *
 Phone Number: Ext.:
 E-Mail Address: *
 Street Address:
 City:
 State: Zip Code .:

Environment Information
Number of Locations:
   
Number of PC's in your organization:
   
What desktop Operating System is most prevalent at your location:
   
What desktop Operating System is second most prevalent at your location
   
Number of servers in your organization:
   
What server Operating System is most prevalent at your location:
   
Who currently handles your I.T. needs?
   
Do employees / business partners access your system remotely? Yes  No 
   
Where did you hear about our Free Network Assessment?
   
Prior to this, have you heard of us? Yes  No
   
Any immediate issues / concerns?  
Thanks for providing us with your information.
Please press the submit button and you will be contacted shortly.

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