Name :
First and Last Name
Email :
Phone :
Title :
Company :
Address :
Address 2:
City :
State :
Zip:
How did you learn about Remote Support?:
Direct Mail, Account Executive, Web Site, Email, etc.
Type of Business::
Law, CPA, Services, etc.
Number of PCs:
Including Desktops and Laptops
Number of Servers:
In all locations
Number of Locations:
Number of Remote Users:
Working at Home or Mobile
Personal Computer OS:
Windows XP Pro
Windows XP Home
Windows 2000
Windows NT
Windows 98
Windows 95
Select all operating systems that are in use in your business
Server OS and Server Application:
Server 2003
Small Business Server 2003
Server 2000
NT Server
MS SQL Server
MS Exchange
Select all that apply
Applications:
MS Office
Wordperfect
Outlook
Practice Management
Document Management
Select all that apply - if you have additional application requirements, please provide details in the comment area
Current IT support:
Select One
Internal Only
Internal + External Projects
External Only
No Support
How do you currently support your staff?
Comments and additional requirements:
Are you interested in a network and technology assessment?:
Yes
No
To provide high quality technical service, Afinety focuses on what we do best - support for Windows desktop and server technology. With this in mind, we do not offer support for Apple, Sun, UNIX or LINUX .