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Title : *
First name: *
Last name: *
Job Title : *
Company Name : *
Department :
Address : *
Postcode/Zip : *
Country : *
Business Tel : *
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Mobile :
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Q1. Are you responsible for making buying decisions within your company for products or services to resell?

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Q2. Which of the following best describes your job title?

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Q3. Which of the following best describes your company's business?

Tick one from each column *

Primary Secondary
Value Added Reseller
Voice & Data Reseller
Audio Visual Reseller
Network Reseller
Voice Reseller
E-business Reseller
Systems Integrator/Solutions Provider
Security Services/Solutions Provider
Storage Services/Solutions Provider
Software Developer/ISV
Computer Retailer
Systems OEM/Systems Builder
Service Provider
IT Consultancy
Manufacturer
Distributor
Vendor
Other

Q4. Is this a branch location or a headquarters?

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Q5. How many employees are there at your site and in your organisation?

Tick one from each column *

at Site in Organisation
1 to 9
10 to 24
25 to 49
50 to 99
100 to 199
200 to 499
500 plus

Q6. How many sites does your organisation have?

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Q7. What is the annual turnover of your organisation?

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Q8. Which of the following product areas do you resell?

Tick all that apply *

Peripherals

CCD/CRT Monitors Graphics Board
Other/Main Board Memory Projectors
DVD-RAM/ROM CD-RW NIC Cards
Sound Video Plasma Screens
Photocopies/Imaging Other

Network Services

Arbinet BT Cable & Wireless
Colt Telecommunications Easynet Eurocall
HP Kingston Communications MCI
NetNet Nimans NTL
Opal Opera Primus
Project Telecom Swiftnet Telewest
Telia Thus Tiscali
Your Comms Gamma Telecom Other

Applications

Office Internet/Intranet Telecoms/CTI
Accounting Databases/Data Management Graphics
CAD/CAM UNIX Linux
Networking Remote Connectively Development Languages/Tools
Document Management CRM ERP
Ebusiness Wireless Security
Thin Client Storage Other

Networking/Comms

Remote LANS Security/Firewalls Network Computing
PBX Data Voice Mobile Computing VPNs
Wireless IP Networking/Telephony/Cti LAN/WAN/MAN
Routers/Switches/Hubs/Bridges ISDN/xDSL/ADSL Modems
VoIP Bluetooth Other

Telephony Systems

Aastra Alcatel Avaya
BT Cable & Wireless Cisco
Ericsson Kirk Telecom L.G
Mitel NEC Nortel
Panasonic Philips Samsung
Siemens Telrad Toshiba

Hardware

Desktop PCs Notebook Systems White Box
Security e.g. Firewalls Mid Range Systems Workstations
Servers Handheld Telephony Systems
Storage Other

Storage

SAN TAPE NAS
Removable Direct Attached Other

None of the Above

Q9. What size of organisation (number of employees) do you sell to and which is most important in terms of revenue?

Tick one from each column *

Sell To Revenue
1 - 9
10 - 99
100 - 499
500 - 999
1000 plus

Q10. What services do you currently provide to your customers?

Tick all that apply *

Consultancy Support
Integration Installation
Maintenance Training
Networking Services Software Development
Security Consultancy Website Development
Website Hosting E-commerce Services
Application Services Wireless Services
Storage Services XSP
Managed Services Outsourcing
Other

Q11. Which vertical industries do you sell to?

Tick all that apply *

Education, Training
Government, Local Authority, Public Sector Agency
Medical, Healthcare, Pharmaceutical
Banking, Finance, Insurance
Business Services, Property, Law, Accountancy
Manufacturing, Engineering
Oil, Gas, Mining, Construction, Agriculture
Utilities: Energy & Water
Media, Leisure, Travel, Entertainment, Marketing, Advertising, PR, Broadcasting
Distribution, Logistics, Transport
Retail/Wholesale Services
Telecommunications, Cable, Satellite
Service Provider, ASP, ISP, Wireless SP, Web Host
Manufacturer of Computers, IT Equipment or Software
Computer Dealer, Reseller, VAR
Network Intergrator/Systems Intergrator
IT Consultancy
Other

Q12. Complimentary subscriptions are limited and are allocated on a first come first served basis for qualified applicants. Would you want to receive a digital subscription if our print allocation has been reached?

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Normally you are asked to sign a registration card to validate your free subscription, but this is not possible on a web page. Instead we ask a qualifying question that must be answered:
Last Secondary/High School attended [For example: St Paul's] *



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