SurveyTracker 4.0/4.5 Registration

If you are a SurveyTracker customer then you may register on-line by completing this form. This will activate the product and qualify new users for technical support.

If you registered SurveyTracker during installation, you do not need to register with this form.

Fields marked with an * are required.

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USER INFORMATION*

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* 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:

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PRODUCT INFORMATION*

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* Registration #: (included in package)
* Product Key: (included in package)
* Serial Number:	For network version, serial number can be found during the install. For desktop version, serial number can be found in the About Box (open the Help drop-down menu and select About). SurveyTracker must be installed in demo mode first to receive this serial number.

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The following information will help us to better serve you in the future.

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Are you using SurveyTracker on a
Desktop PC
Portable Notebook
Network

How much RAM does you computer have?
Below 128MB
128MB
256MB
512MB
Over 512MB

What Windows operating system are you using?
98
ME
NT
2000
XP

What is the type and speed of your computer processor? (e.g. Pentium 4 1GHz)


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

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Thank you for your valuable time in sharing the above information. We look forward to working with you!

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