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Salutation

First Name

Surname

Email

Tel (if available)

Position

Company Name

Address 1

Address 2

Address 3

City

Postal Code

Do you currently have company mobile phones? Yes No

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How many minutes of talk time does your company require?

How many handsets do you require?

How many handsets would require email & internet access?

Do you currently use Blackberry or PDA devices? Yes No if so how many?

Do you have a mail server, if so what mail system do you use?
Microsoft Exchange Lotus Novell Groupwise

Would you like to know more about wireless internet for company laptops? Yes No

Would you like to know more about our lone worker solution? Yes No

When would you like to be contacted:

How would you like to be contacted? Phone Email

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