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SurveyTracker Registration
SurveyTracker 3.x
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Support Info
If you are a SurveyTracker customer then you may register on-line by completing this form. This will qualify new users for technical support and will enable us to notify you of future product enhancements, upgrades, etc.
The information on this form will not be encrypted. If you are concerned about the security of your information then please fax us or mail us your Registration Card.
Sections marked with an
*
are required.
USER INFORMATION
*
*
Name:
Position/Title:
*
Organization:
Department:
*
Address:
Address 2:
*
City:
*
Country/Region:
U.S.A.
Canada
Mexico
Central/South America
United Kingdom
Europe
Africa
Asia
Australia
*
State/Province:
Outside U.S./Canada
Alabama
Alaska
Alberta
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
Newfoundland
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas
Northwest Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Palau
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatachewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon
*
Zip/Postal Code:
*
Contact Phone:
Ext.
*
E-mail Address:
Fax:
PRODUCT INFORMATION
*
*
Which product did you purchase?
SurveyTracker E-Mail/Web
SurveyTracker Classic
SurveyTracker Network
Version:
3.0
2.5
Below 2.5
*
Serial Number:
-
The following information will help us to better serve you in the future.
Are you using SurveyTracker on a
Desktop PC
Portable Notebook
Network
How much RAM does you computer have?
Below 32MB
32MB
64MB
128MB
Over 128MB
What Windows operating system are you using?
95
98
ME
NT
2000
Other
What is the type and speed of your computer processor? (e.g. Pentium 166)
How familiar are you with the principles of conducting surveys or assessments?
Just beginning to conduct surveys.
Have been conducting surveys for a while.
Know the concepts and statistical applications for surveys extensively.
What e-mail system to you use or plan to use with SurveyTracker?
MS Outlook/Exchange
MS Outlook Express
Lotus Notes
Novell Groupwise
Qualcomm Eudora
Other
Comments:
Thank you for your valuable time in sharing the above information. We look forward to working with you!
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Survey Distribution Methods:
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