1. I use a computer

At home
In the office
Both
None of the above

2. The main use of my computer is

Word Processing
Accounts/Spreadsheet
Database input
Not applicable

3. We currently have need for

Database Software Development
Website Design/Advice
Other (Please Specify)

4. I would like you to

Call to arrange an appointment
Contact me in 2 or 3 months
Delete me from your database

Comments

Name

Company

Address


E-mail

Telephone
(inc code)