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			Secure the future of your network with Cisco Systems today! Please select the appropriate option, and complete the form below: I would like a Cisco Systems Representative to get in touch with me. I would like to download the free Cisco Systems Network Security Kit (Size: [an error occurred while processing this directive]b). The kit gives you a comprehensive guide to network security, and how Cisco's unique multi-layered solutions can increase your productivity and enhance your cutting edge. 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 in your company?   - select one - 1 - 4 5 - 19 20 - 49 50 - 99 100 - 249 250 - 499 500 - 999 1,000 - 4,999 5,000 - 9,999 10,000 + 4. What is your relationship with Cisco?   - select one - End User Reseller Distributor OEM Systems Integrator Alliance Partner Service Provider Cisco Networking Academy Consultant Training Partner Other None 5. What is your purchasing role with respect to technology projects?   - select one - Authorize Evaluate/Test Influence/Recommend None 6. Which Cisco network security solutions are you interested in?   Firewall VPN Intrusion Detection System Security Management AAA (Authentication, Authorisation, Accounting)     7. When is your next network security project planned?   - select one - Now - 3 Months 4 - 6 Months 7 - 12 Months Over 12 Months No Plans To Purchase Unknown 8. What is your budget?   - select one - US$0 - US$999 US$1000 - US$4999 US$5000 - US$14,999 US$15,000 - US$24,999 US$25,000 - US$49,999 US$50,000 - US$99,999 US$100,000 - US$199,999 US$200,000 - US$499,999 US$500,000 - US$1,000,000 Over US$1,000,000 Budget amount not fixed No budget available Don't know / Not responsible 9. Do you have preferred partner/reseller?   Yes No   If yes, please specify: Thank you for registering. Click here to return to Security Solutions.

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