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Mountain View IT Consultant
Rely On IT, Inc.
Los Altos, CA
Main (650) 961-1300
Fax (650) 961-1313
Email: info@relyonit.com


Complete the following form to have a representative contact you to discuss your needs.

(Note that fields in RED are required.)
First Name:
 
Last Name:
 
Title:
 
Company:
 
Address 1:
 
Address 2:
 
City:
 
State/Province:
 
Zip/Postal Code:
 
Country:
 
Email Address:
 
Daytime Phone:
 
Fax:
 


What services or solutions are you interested in?
   (Please check all that apply)

Onsite Support / Admin. Intranet
Voice/Data Cabling & Wiring Onsite Training
Email Groupware
LAN/WAN Installation Internet Access
Virtual Private Network Data Backup
Fault Tolerance Remote Access
Resource Sharing Network Security
Telephone Systems Digital Video Security


Other (Please describe below)

How soon do you need the service or solution you requested?

ASAP
1-3 months
4-6 months
7-9 months
>10 months

What is your company's budget for the requested service or solution?

<$5,000
$5,000-$9,999
$10,000-$19,999
$20,000-$29,999
$30,000-$49,999
$50,000-$60,000
>$60,000

How many computers does your company have (IBM PC or compatible, UNIX workstation, Mac, etc.)

<10
10-20
21-30
31-50
51-100
>100

How many office sites does your company have?

1
2-5
6-10
>10

What Operating Systems does your computers have?
   (Please check all that apply)

Windows 9x
Windows NT
Windows 2000
Windows XP
Windows 2003
Unix
Linux
Macintosh
Other  

     

 
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