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Personal Information

The fields indicated with an asterisk * are required to complete this transaction

* First Name:

* Last Name:

Home Page URL:

* E-mail Address:		*Valid email address required for authorization

* Phone Number:

Title:

* Company Name:

* Address:

Suite # / PO Box:

City, State/Province:		,

Zip/Postal Code:

* Country:

Please provide the following:

* Which network based document capture, MFP, or digital copier hardware are you currently using? HP Digital Sender 9100c HP MFPs (9000, 4100, 9055, 9065) Lexmark Canon ImageRunner RICOH Konicka Xerox KyoceraMita Panasonic None Other:


* Which document & content capture solution do you currently use? AutoStore Adobe Doculex Datacap Kofax Accent Capture Ricoh Document Router / GlobalScan Lexmark Document Distributor Captiva (InputAccel) eCopy None Other:


* Which PC based document management hardware products are you currently using? Bell & Howell HP (Hewlett-Packard) Panasonic Canon Kodak Plasmon Fujitsu Maxoptix Ricoh None Other:


* Which document management software products are you currently using? Documentum FileNet Hummingbird (PC Docs) iManage Microsoft SharePoint Portal Lotus Domino/Domino.Doc TRIM Easy Software IXOS Open Text Paperport Legato None Other:


* Which industries does your company belong to? Accounting Health Care Publishing Banking/Finance Insurance Services Communications Law Enforcement State/Local Government Education Legal Transportation/Trucking Federal Government Manufacturing Utilities None Other:


* Are you planning to purchase a document capture solution in? 1 to 3 months 3 to 6 months 6 to 9 months 9 to 12 months Not budgeted at current time

You are a...?

* Which of the following best describes your job level? Executive Director Non-Executive Director IT Director IT Engineer Purchasing Project Manager Other:

Are you planning...?

* Which of the following best describes your company's need to implement new or existing document capture solutions?

A problem has been recognized and all requirements have been defined
A problem has been recognized and some requirements have been defined
A problem has been identified but its full scope has not been identified
A problem has been identified but its scope has not been defined
A problem does not exist
Other:

Notes or Comments:

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