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Name
Company Name
Address
City
State
Zip
Phone
Fax
e-mail
Industry:
Manufacturing
Healthcare
Distribution
Government
Retail
Other:
Number of remote locations:
1-5 6-10 11-25 26+
Existing Twinax controllers: (check all that apply)
e-Twinax Model Required:
Connection from AS400 and users:
Local Ethernet
Internet w/Router
WAN leased lines
Internet dial up/out
Devices you intend to connect to controller: (check all that apply)
Twinax display stations
SCS Twinax printers
PCs with Twinax 5250 emulation
IPDS Twinax printers
I heard about these products from
Direct mail piece
Trade show/seminar
Display ad in magazine
Yahoo/Web search
Referral
Other