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1. Please indicate the product(s) or solutions(s) that you are interested in: (Check all that apply)

Desktop systems

Desktop systems

Notebook systems

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Point-of-Sale systems

Servers

Other

2. Please describe the system, configuration or solution that you are interested in:

3. Please provide your existing IBM system machine type:

4. Please indicate your existing IBM system model:

5. Please indicate your existing IBM system serial number:

6. What is your estimated timeframe for purchase?Immediately2-3 months4-6monthsgreater than 6 months

7. If you have a preferred IBM Business Partner, please indicate:

8. Please add any additional comments (specific features, functionality, current IT infrastructure, business priorities, etc.) which are relevant to this quote:

* First Name

* Last Name / Surname

* Address1

Address2

* City

* Province

* Postal Code

* Phone

* E-mail address

Fax

9. Anything else we should know (240 characters maximum)?

How would you like us to contact you?

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