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1. Primary Business Activity: (Select Only One)

      VAR, Reseller, Dealer, Systems/Network/Software/Web Integrator, Telephony Reseller, VAR Consultant
      Distributor/Wholesaler, OEM, Vendor/Manufacturer/Master VAR
      Software Developer/ISV
      ISO (Independent Sales Organization/Agent)
      ASP, AIP, Managed Host, Web Host, ISP, Managed Service Provider
      Other    (specify)

2. What Best Describes Your Title? (Select Only One)

     President, Owner, Partner, V.P., Corporate Officer
     General Manager, Manager Of: Branch, Division, Department
   Sales Management/Staff
     Technical Management/Staff
     Other Management      (specify)

3. Applications You Provide: (Check All That Apply)

     AIDC / Supply Chain / RFID
     Card Technology / Biometrics
     Customer Relationship Management
     Document Imaging, Document Content & Management
     Managed Services
     Networking
     Point of Sale (POS)
     Payment Processing

Mobile Computing
Security, Network
Security, Physical
Storage
Time and Attendance
VoIP / Telephony / Convergence
Wireless Networking
General Computing

3A. Primary Application You Sell:

4. Vertical Markets You Sell To: (Check All That Apply)

     Retail
     Hospitality
     Grocery/C-Store
     Manufacturing/Warehouse
     Wholesale/Distributing
     Field Service/Route Accounting
     Transportation

Real Estate
Utility
Healthcare/Life Services
Engineering
Government
Law / Public Safety
Insurance

Financial Services
Pharmaceutical
Education
SMB
General Office
Telecommunications

5. Software / Hardware You Supply: (Check All That Apply)

AIDC/SUPPLY CHAIN/RFID: Labeling Software Bar Code Printers Bar Code Scanners Bar Code Media RFID Handheld Computers Biometrics ID Card Printers Access Control	POS: POS Software POS Peripheral (Displays, Drawers) Receipt Printers Touch Screens Kiosks All-In-One Electronic Cash Registers Payment Processing Video Surveillance Gift/Loyalty Cards Digital Signage	STORAGE: Storage Software Storage Virtualization Disk-to-Disk Backup Archival Storage (CD / DVD / MO) Network Attached Storage RAID Storage Area Networks Tape Backup IP Storage / iSCSI
NETWORKING / GENERAL COMPUTING / VOIP: LAN / WAN Hardware Network Mgt Software Video Surveillance VoIP / IP Telephony / Convergence Servers UPS Displays / Monitors PCs	DOCUMENT MANAGEMENT: Records Management Software Document and Content Management Software Document Scanning Software Toolkits OCR / ICR / Forms Processing Workflow Software Document Scanners Copiers/MFPs Check and Remittance Processing	WIRELESS: Mobile Printers Wireless LAN / Wi-Fi Broadband Wireless Notebooks Wireless Handhelds Mobility Software
SECURITY: DLP (Data-leakage Protection) Email / Web Content Filtering Endpoint / Full Network Security Secure Wireless Firewalls / VPNs UTM (Unified Threat Management)

6. Operating System / Environment: (Check All That Apply)

     Unix
     Linux
     Macintosh
     Windows
     Mainframe
     AS/400 – Midrange / IBM iSeries
     Novell

7. Annual Sales In Dollars: (Select Only One)

     50 million or more
     20 million to 49.9 million
     10 million to 19.9 million
     5 million to 9.9 million
     1 million to 4.9 million
     under 1 million

8. What size organizations does your company sell to or service?: (Check All That Apply)

     Fortune 1000
     1000+ employees
     100 - 999 employees
     25 - 99 employees
     1 - 25 employees

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