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The only required information on this form is your name, company name, and email.

 Name  
 Email  
 Phone Number  
 Company Name  
 Hosting
 Don't Know    Shared    Dedicated
 Database Requirements
 Don't Know    MS SQL    Oracle    Access
 MySQL    None
 Email
 None    POP3    SMTP    How many?
 FTP
 No    Yes
 Remote Access
 Don't Know    No    Enterprise Manager    pcAnywhere

 Other  
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Four Corner Interactive, Ltd Tel: 01483-829-610 Fax: 01483-838-962
Guildford - London - Los Angeles