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Request a Home Networking Consultation

If you would like one of our representatives to contact you about installing a home network, please complete this form to request a free consultation.

  1. Please provide the following contact information:

    First Name
    Last Name
    Title
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
    Country
    Work Phone
    Home Phone
    E-mail

  2. How many computers do you have in your home:

    One            Two            Three          Four         
Five           Six            Seven or more

  3. What computer Operating Systems do your home PCs use? (Windows 3.1, Window 95, Windows 98, Windows ME, Windows NT, Windows 2000, Windows XP, Mac, OS2, Linux, Unix,other) List each that you use, if you know:

    Date of Birth

  4. Are all PCs on the same floor?:


  5. If all PCs are not on the same floor, how many floors in your home contain PCs that you wish networked?:


  6. Do you use your home PCs for Internet access


  7. Would you like all of your home PCs to share the same Internet connection?


  8. What type of Internet connection do you have?


  9. Are any of your home computers currently networked?


  10. Please tell us if you would like us to call you to discuss installing a network in your home. Also please tells us what you would like home networking to do for you and any other ways we might help you with your home PCs and network. Thanks! You will hear from us soon.


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Revised: September 04, 2004
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Last modified: May 30, 2004