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2.	For audit validation purposes, (since we cannot get your signature), What day of the month were you born?

3.	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

ASP, AIP, Managed Host, Web Host, ISP, ISO, Managed Service Provider

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4.	What best describes your title? (select only one)

President, Owner, Partner, V.P., Corporate Officer Technical Management/Staff

General Manager, Manager Of: Branch, Division, Department Other Management (please specify)

Sales Management/Staff

5.	Applications You Provide: (select all that apply)

C. AIDC/Supply Chain G. RFID

M. Business Intelligence/KM F. Security, Network

K. Card Technology/Biometrics J. Security, Physical

R. Customer Relationship Management H. Storage

E. Document Imaging/Content Management D. Time & Attendance

I. Managed Services Q. VoIP/Telephony/Convergence

B. Networking O. Wireless Networking/Mobile Computing

A. Point of Sale (POS)

5a.

Primary Application You Sell:

6.	Vertical Markets You Sell To: (select all that apply)

Retail Government

Hospitality Law/Public Safety

Grocery/C-Store Insurance

Manufacturing/Warehouse Financial Services

Wholesale/Distribution Pharmaceutical

Field Service/Route Accounting Education

Transportation Telecommunications

Utility Real Estate

Healthcare/Life Sciences SMB

Engineering General Office

7.	Software/Hardware You Supply: (select all that apply)

AIDC/Supply Chain/RFID

WMS RFID

ERP Handheld Computers

Bar Code Printers Biometrics

Bar Code Scanners I.D. Card Printers/Software

Bar Code Media Access Control

POS

POS Software POS Systems

POS Peripherals (i.e. Printers, Displays, Drawers) Electronic Cash Registers

Touch Screens Payment Processing

Kiosks Video Surveillance

Networking Gift/Loyalty Cards

Digital Signage

Networking/Wireless

LAN/WAN Hardware Firewalls/VPNs/Intrusion Detection/Anti-Virus

Network Mgt Software VoIP/IP Telephony/Convergence

Wireless LAN/Wireless WAN Servers

Network Security Wireless Mobile Computing

Video Surveillance UPS

Storage

Storage Software RAID

Storage Virtualization Storage Area Networks

Disk-to-Disk Backup Tape Backup

Archival Storage (CD/DVD/MO) IP Storage/iSCSI

Network Attached Storage

Document Management

Records Management Software Workflow Software

Document & Content Mgmt Software Document Scanners

Document Scanning Software Copiers/MFPs

Toolkits Check and Remittance Processing

OCR/ICR/Forms Processing

8.	Annual Sales In Dollars: (select only one)

$50 million or more $5 million - $9.9 million

$20 million - $49.9 million $1 million - $4.9 million

$10 million - $19.9 million Under $1 million

9.	What size organizations does your company sell to or service? (select all that apply)

Fortune 1000 25 - 99 employees

1000+ employees 1 - 24 employees

100 - 999 employees

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