* Contact name (first, last)

Company:

Type of business/organization:

* Phone #:

( )

* e-mail address:

street address:

city:

state:

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zip:

How did you hear about MCG Managed Resources?

Do you want to be contacted via e-mail or phone?

e-mail phone

# of Servers?:

# of Workstations?

How many workstations are...

Macintosh: Unix:

Do you currently have a offsite backup or disaster recovery plan in place with regard to your data files?

Questions, comments or suggestions?

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