Sales, Service & Upgrades
Networking, Web Design, Consulting & Training
for PC's and Compatibles
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Customer Profile

Please take a few moments to answer the questions below so that we can better service your needs.

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

Contact Person 1 (Primary Decision Maker/Financial)

Mailing Address
Address (cont.)
Zip/Postal code
Work Phone

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)

Work Phone


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


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?


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This site last updated on January ,(, /),(.