internet content filter appliance solutions

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First Name: Last Name:

Company Name: Title:

Address:

City: State/province: Zip Code:

Phone No: Best time to call:

E-mail Website:

Country:

1. Primary business focus (Please select all that apply):
VAR	Integrator	Consultant
Communication Dealer	Other
2. Vertical/target markets you serve:

3. Number of employees in your organization:

4. Operating System Specialization (Please select all that apply):
Windows 95/98/NT/2000/XP Solaris (Sun OS) MAC OS OS/2	Unix Linux Novell Other
5. Type of products you purchase or resell (Please select all that apply):

6. What are some of the product names you represent?

7. Do you offer support for the applications you sell?
No Yes
8. Annual gross sales revenue (USD):

9. List Territory Focus: (check all that apply):
West Central Great Lakes Southeast Northeast
10. Average number of computers in an end-user network?

11. Number of years in business:
years
12. Certifications obtained (Please select all that apply):
Cisco CISSP Check Point/OPSEC Computer Associates HP	Lucent Microsoft Sun Micro Other
13. Other Internet solutions you sell (Please select all that apply):
Anti-virus Firewalls Routers/ Switch Software (Enterprise) Software (Security) Other
14. Do you currently sell other filtering products?
No Yes (please specify)
15. What marketing methods do you use in promoting your product offering?