Inquiry Form

Please take a moment or two to complete the information requested below. Provide as much information as you can, or if you prefer call me to give me this information in person. All information is confidential! Lion Business uses this information to access your Technology needs and provide high-quality services.

Company Name

Contact’s First Name

Contact’s Last Name

Contact’s Title

Company Phone Number

Company Fax Number

Mailing Address

Physical Address

Your Industry is

Your Main Challenges are

Your Technology Needs are

Your Technologies are (# of PCs, network size, etc.)

List Technology Projects you have planned, include scope and timing

Please review the list below. If you currently use any of these technologies click on “Yes”. If you are considering the technology sometime in the future, please click on “Future”.

Technology Type

Yes

Future

Technology Type

Yes

Future

Windows Server (NT-2000)

Windows Workstation (NT-2000)

Windows 95/98/ME

Exchange E-mail Server

Database/Client-Server

Fax Server/Mail Server

Internet Server

E-Commerce/Store Front

Networks (LAN/WAN)

Security (Users and Systems)

Databases

Accounting Software

Microsoft Word, Access. Etc.

Management Software

Industry Specific Software

Custom Software

Please provide any other information to help me better serve your needs.

Click the submit button! A notice will appear indicating that email will deliver your information. Click on “OK”! You will remain at this page, but you may then continue browsing the Lion Business web-site. Thank you!

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Author: Lionel Moodie Updated on 07/10/10