DATA EXPERTS CONSULTANTS

Customer Information

We appreciate your taking a few minutes to become a subscriber of Comp & Soft Mail List. There are no charges, and all information you provide is for use only by Comp & Soft. Your name and personal information will never be provided to third parties.

There are three sections to this form:

  1. Basic Information -- Quick and painless, this is the minimum required information for becoming Comp & Soft Customer. First, tell us your name and email address. Then, choose a password that is six or more characters long and type it in the appropriate field. Finally, type in your mother's maiden name (or some other easily remembered name or word), so that we can verify your identity if you ever forget your password.
  2. Comp & Soft Direct Information -- Makes it possible for you to order products and services online, directly from us. If you'd like to take advantage of this new online service, you'll need to provide us with some additional account information.
  3. Additional Information -- Although it's not required, we hope you will take the time to answer a few (non-personal) questions about yourself. Your input will help us to continue to improve the design of our service.

Basic Information

First name:
Last name:
Email:

Your age?

-21 21-30 31-40 41-50 51-60 61-70 71-80 81+

Is it okay for Comp & Soft to contact you?

A sales call With monthly updates When there are special offers/invitations to customers

or go on...

Direct Information

Direct allows customers to purchase advertised products, information, or services from us. In order to do that, we need to know the following information:

Phone:
Fax:

Billing Address:

Name:
Address 1:
Address 2:
City:
State/Prov.:
Country:
Zip Code:

Shipping Address (defaults to billing address):

Name:
Address 1:
Address 2:
City:
State/Prov.:
Country:
Zip Code:

or go on...

Additional Information

This information helps us learn a little bit about our customers. Please take a few moments to answer a few questions:

Company:
Title:
Business:

How do you usually connect to the Internet?

Dial-Up SLIP/PPP
<=56K 64
T1 T3+
Unknown Other: 

System Type:  

UNIX DOS PC
Windows PC OS/2
Macintosh VAX/VMS 
Other

What type(s) of computer display(s) do you use?

Color Black & White Both

What company or institution provides you with Internet access? How would you describe yourself as an Internet user?

Basic Intermediate Experienced

Any additional comments?

An Equal Opportunity Employer
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