Your Business Name and Address

These are the instructions for filling out this section. These are the instructions for filling out this section.These are the instructions for filling out this section.

1. What is the name of your company?
   
   
   
   
2. Type of business or organization:

   Proprietorship    
   Partnership   
   Small Corporation
   Large Corporation 
   State or Federal Government Agency

3. We would like to send you some literature. How may we reach you?

   Your Name  
   Company    
   Street     
   City       
   State      
   Zip Code   
   Phone      
   Fax        
   E-Mail      (Required)
   

1. How soon do you need this information?

   Urgently 
   This week 
   Regular mail will do
   

2. What is your favorite way to receive information?

   
   E-mail
   Fax
   Federal Express
   Postal mail
   Telephone
   
   

3. Select the subject areas you are most interested in:

   Becoming a BICA member
   Upcoming Seminars and Meetings
   Speaking to a Representative
   Ordering books or other supplies
   Literature to Show the Boss or a Colleague
   

4. Please use the space below to describe your needs if necessary:
   
   
   

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Tell Us About Your Computer Equipment

To better serve you as a future member, please tell us a little bit about your computing capabilities. We constantly update our computer systems to provide the most benefit to all potential users of our information systems. Your cooperation will help us continue to design leading-edge credit reporting systems.

1. Which type(s) of computer(s) does your company have (check all that apply)?

   Windows 95 or 98 
   Windows NT       
   PC/MS-DOS        
   Pentium Computers
   486 Computers    
   286/386 Computers
   Novell           
   Macintosh        
   UNIX             
   AS-400           
   Mainframe        
   Thin clients     
   X Windows        
   

2. How many computers or user workstations do you have at your office?
   
   
   
   
3. Please enter any additional comments or questions regarding our products or services:
   
   

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Form Submission

Thank you for taking the time to answer the questions in our survey. You information should arrive very soon. Most information will be shipped to you via standard postal mail or e-mail as appropriate. If you require further assistance, please do not hesitate to call.

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