Customer Profile

Today's Date	-- mm/dd/yy
Your Company Name
Industry
Website

Contact Person 1 (Primary Decision Maker/Financial)

Name
Title
Mailing Address
Address (cont.)
City
State/Province
Zip/Postal code
Work Phone
FAX
E-mail

Does Contact Person 1 have authority to authorize technology purchases
(signing a service agreement, purchase order, etc.)? Yes No

Is Contact person 1 a check signer? Yes No

Contact Person 2 (Operations/Tech)

Name
Title
Work Phone
FAX
E-mail

How many employees?			How many PC users?
How many Standalone users?			How many Networked users?
How many Notebooks?			How many Desktops?
How many Servers?

What is your predominant PC/hardware brand?

HP/Compaq Dell Gateway IBM White Box (Clone) Other

Other

What are your most important software applications?

What versions of Windows are you currently running?		What versions of Microsoft Office do you use?
Windows 3.x Windows 95 Windows 98 Windows 2000 Windows Me Windows NT Windows XP Windows .Net		MS Office 4.x MS Office 95 MS Office 97 MS Office 2000 MS Office XP

Do you use Netware?	Yes No
Do you use UNIX or Linux?	Yes No
Do you use Mac(s)?	Yes No
Do you have a mini or mainframe system?	Yes No

How many locations do you have?

What is your company's annual revenue?

Who supports your PC's and technology assests today?

How did you hear about Martin Computing Company's Services?

What are your top five computer related problems?
(Please describe below, with one being most critical, and five being least critical.)

Would you like to schedule a Free half hour technology assesment? Yes No

If Yes, when is the best time to contact you?