Name:

Organization Name:

Type of Business:

Main Telephone:

FAX Line:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

E-Mail Address:

Fill out if Applicable:

Network OS: Netware 3.x - - - Netware 4.x - - -

Microsoft (Lan Man) Windows NT/Advanced - - -

Bayan (VINES) - - - DEC LocalTalk - - -

Digital (Pathworks) - - - Artisoft (Lantastic)

Network Protocols: IPX/SPX - - - AppleTalk - - -

SNA - - - TCP/IP NFS - - - DECnet - - -

SNMP - - - Other

Lan Environment: 10Base-T - - - 4M Token Ring - -

16M Token Ring Ethernet - - - Fast Ethernet - - -

FDDI - - - ATM LocalTalk - - - 10Base-2

Workstation OS: DOS - - - Windows - - -

Windows 95 Windows NT - - - OS/2 - - -

Macintosh - - - Unix IBM MVS - - - Digital VMS

E-Mail Systems: GroupWise - - - CC:Mail - - -

Microsoft Mail Davichi Mail - - - Beyond Mail - - -

VAX Mail - - - None

Number of LANs:

Number of Workstations:

Comments: