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			If you would like Cisco to contact you regarding Cisco Catalyst Solutions please complete your details below: Your contact details All fields are mandatory Salutation: - select one - Mr Ms Mrs Mdm Prof Dr Other First name: Last name: Job Title: Company: Country: - select one - Australia China Hong Kong India Indonesia Korea Malaysia New Zealand Philippines Singapore Taiwan Thailand Vietnam Office Phone: (include country code) + - Ext (Put '0' if none): Mobile (Put '0' if none): (include country code) + - E-mail: Please share with us how we can keep in touch All fields are mandatory 1. May we contact you via the following methods?   E-mail Yes No Mail Yes No Phone Yes No Fax Yes No   If yes, may we send you Cisco e-mail messages in:   HTML Plain Text 2. Where did you see the campaign?   Newspaper   Magazine E-mail Mail   Web Banners   Website   Others, please specify: Please help us understand your needs so we can serve you better 3. How many employees are there in your country office?   - select one - 1 - 19 20 - 49 50 - 99 100 - 249 250 - 499 500 - 999 1,000 - 4,999 5,000 - 9,999 10,000 + 4. In which main industry does your company operate?   - select one - Aerospace & Defence Agriculture Automotive Banking Chemical & Petroleum Computer Hardware Computer Software & Services Consumer Products Education Electronics Financial Services Food, Beverage & Tobacco Government Healthcare Hospitality (Hotels & Leisure) Insurance Legal Manufacturing Media - Print Media - Broadcast Marketing, PR, Advertising Pharmaceutical & Biotechnology Professional & Consulting Services Retail Property & Construction Service Provider/Telecommunications Transportation Utilities & Energy Wholesale/Distribution Other 5. Which of the following best describe your organisation/company's relationship with Cisco?   - select one - End User Reseller Distributor OEM Systems Integrator Alliance Partner Service Provider Cisco Networking Academy Consultant Training Partner Other None 6. Which of the following best describe your role in purchasing networking equipment for your organisation?   - select one - Authorize Evaluate/Test Influence/Recommend Not applicable 7. What network switching solutions do you currently have in place? Please select where appropriate   Cisco Extreme Foundry 3com Core Distribution Edge/Access Other 8. Which of the following networking solutions would be of interest to you? Please select where appropriate   Core Distribution Edge/Access Others, please specify: 9. Are you considering new network services? Yes No If yes, please select where appropriate   IP Telephony Content Switching Gigabit Ethernet Security         10. When is your next network project planned?   - select one - Now - 3 Months 4 - 6 Months 7 - 12 Months Over 12 Months No project planned 11. What is your budget?   - select one - Under US$50,000 US$50,000 - US$100,000 US$100,000 - US$200,000 US$200,000 - US$500,000 US$500,000 - US$1million Over US$1million Budget amount not fixed No budget available Don't know / Not responsible

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