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In order to give you a more accuate idea of how we can help your organization, please complete this short questionnaire. We will respond to your request appropriately and as always, we will never provide your contact information to anyone else without your permission.

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About Your Organization

Organization Name **: Number of Students **: Number of Locations in Your District **: Number of Maintenance Employees :

Address (line 1): Address (line 2 - optional): City: State/Province: Postal Code: Country:

Your BAS Information

BAS Manufacturer(s): BAS Model Number(s): How Do You Connect to Your Installed BAS? (Check all that apply):

Dialup Modem
LAN (Ethernet)
Wireless
Direct Connection (Serial, Parallel, USB, etc.)

Contact Information

First Name **: Last Name **: Title/Role:

Email Address **: Phone Number **: How Did You Hear About Us?

Comments/Specific Questions:

PO Box 549 25 East Main Street Coats, NC 27521 Phone: (919) 342-5040 Fax: (919) 827-8086 Email: