1.
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2.
For audit validation purposes, (since we cannot get your signature), in which month were you born?
Select month bornJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
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 or Web Developer
ASP, AIP, Managed Host, Web Host, ISP, ISO
Other (please specify)
4.
What best describes your title? (select only one)
President, Owner, Partner, VP, Corporate Officer
Technical Management/Staff
General Manager, Manager of: Branch, Division, Dept., etc
Other Management (please specify)
Sales Management/Staff
5.
Applications You Provide: (select all that apply)
Point of Sale (POS)
Card Technology
AIDC/Supply Chain/RFID
Biometrics
Document Imaging/Content Management
Time & Attendance
Mass Storage
Business Intelligence/KM
Networking
Customer Relationship Management
Wireless Networking/Mobile Computing
Telephony/VoIP/Convergence
Security
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/Distributing
Pharmaceutical
Transportation
Education
Utility
Entertainment/Media/Publishing
Healthcare/Life Sciences
Telecommunications
Engineering
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
Networking/Wireless
LAN/WAN Hardware
Firewalls/VPNs/Intrusion Detection/Anti-Virus
Network Mgt Software
IP Telephony/VoIP/Convergence
Wireless LAN/Wireless WAN
Servers
Network Security
Wireless Mobile Computing
Storage
Storage Mgt/SAN Software
RAID
CD/DVD/MO Jukeboxes
Storage Area Networks
Fibre Channel
Tape
Network Attached Storage
IP Storage
Disaster Recovery
Document Management
COLD/ERM
OCR/ICR/Forms Processing
Document Mgmt Software
Workflow Software
Document Scanning Software
Content Mgmt Software
Toolkits
Document Scanners
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
10.
Would you be interested in receiving Business Solutions in a digital format when it becomes available?
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11.
Would you like to receive FREE email newsletters from our partner, VertMarkets IT Group? (select all that apply)
Content Mgt Online Learn how to manage multiple content formats, develop a content management strategy, identify suppliers and vendors, and learn about new products.
CRM Marketplace Stay current with advances in CRM systems and call center technology, discover new products and identify suppliers.
Data Collection Online Get the latest about data collection products and how they are deployed across multiple industries.
Doc Management Online Discover how document management technologies and products are producing valuable efficiencies and meeting the requirements of new laws and regulations.
IT Reseller Online Learn how to build your reseller business by increasing your product line and technologies sold.
IT Storage Online Discover the latest hardware and software products in the data storage industry, and see how they are deployed.
Retail Solutions Online From cash drawers and pole displays to retail software to run an entire chain of stores, get to the latest IT information for retailers.
RF Globalnet Learn more about regulatory and technical issues surrounding Ultra-wideband (UWB) communications.
RFID Solutions Online Learn how to use RFID to solve complex business problems, collect and distribute accurate data, and meet the RFID specifications of some of the world's largest retailers.
Supply Chain Market Get the answers you need about the latest developments, new products and innovations in the supply chain industry.
Wireless Workforce Online Find the news, products and information you need regarding wireless and mobile computing technologies.
Supplier Announcements Receive occasional information from our carefully selected marketing partners about products and services that VertMarkets feels will be of interest to you.
What is the approximate number of employees in your company? (select only one)
Less than 99
1,000-4,999
100-499
5,000-9,999
500-999
Greater than 10,000
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