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Name: *
Company: *
Position: *
Email: *
Phone: *
Address: *
City: *
State: * Zip: *
Number of servers or devices to be accessed?
Number breakdown of servers or devices:  
  PS/2:
  USB:
  Sun:
  Serial:
  SGI:
  Other:
Number of users to access server or devices?
How many need simultaneous access?
Will access be from more than 1000' away? Yes No
Is remote access desired via IP or dial-up? Yes No

           If so, number of simultaneous IP or dial-up users?
Will remote power control capability be required or desired? Yes No
Timeframe for deployment of solution?
When would you like to be contacted to discuss your design and solution options?
What is the best way to contact you?
Additional Comments:

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