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NETWORK CONSULTANCY INFORMATION FORM
Please complete the form below so we may respond as quickly as possible.
You may also contact us at
1.888.667.7231
to speak to one of our specialists.
How many computers will you use in your network?
Not Sure
1-5
5-10
10-25
25+
What type of operating systems will be used ?
Windows Only
Sun Microsystems Only
Linux Only
Other Unix Systems
Mixed Operating Systems
Will your company/home network will connect to the internet ?
Yes
No
What type of Internet Connectivity will you need ?
Cable/DSL
Modem
T-1
DS3 (T-3)
Fiber Optics
Will your network infrastructure include any of these options ?
Firewall Setup
VPN Setup
Wireless Setup
Backup Services
Website Design
Email Services
Web Hosting Services
Mobile Communication Services
Instant Messaging Services
Voice Over IP Services (VOIP)
Streaming Media Services
Specifics about the requested services and setup
Contact Name
required
Email Address
required
Company
Domain Name
Street Address
City
State/Province
Zip Code
Country
Phone
required
Fax
How did you hear about Minerva?
(Please provide the name of the source in the space provided.)
Telephone Directory
Magazine
Name:
Newspaper
Name:
Search Engine
Site Name:
Banner Ad
Site Name:
Word of Mouth
Referrer:
Other:
How would you like us to contact you?
By Phone
By Email
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1.888.667.7231
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571.234.4606
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