From time to time we offer our valued customers great deals and special promotions on Axon, Compaq, HP and other items. If you would like to be notified of special sales and/or request information on any of our products and services, ....please fill out the following mini-survey.

REQUIRED FIELD

	Name
	Organization
	Job Title
	Street
	City
	State/Province
	Postal Code
	Country
	Phone #
	Email

1) Does your location have a computer network?

	Yes No
	# of computers at your location:
	Servers:

2) What is your preferred technology?

	Dell Compaq Gateway Axon
	Other

3) Would you like to receive future copies of
    Axon Advantage newsletters and tech notes?

	Yes No

4) Would you like us to send you additional
    information regarding? (check each that apply)

	Axon PC's
	Axon (Intel-based) File Servers
	AxonRaid Mass Storage Units
	Computing for the disabled
	Tax deductible donations of new       Axon Computers to schools/churches
	Compaq Resales
	IBM Resales
	HP Resales
	Our wholesale Catalog

5) Would you like us to send a price list/quote for
    Axon PC's and servers?

	Yes No

6) Are you involved with decision-making
    concerning technology purchases?

	Yes No

7) Your comments are important to us.

	Comments

8) Would you like us to contact you?

	Yes No