Name: Dan's Tech Support LLC
Price range: $$$

Company Name

Please include the legal designator/full company name (i.e. LLC, Inc., etc)

Number of Workstations (Desktops/Laptops)

Total Workstations: 0

What is your main line of business?

I.E. Professional Services (HVAC, Plumbing, etc), Manufacturing, Medical, etc.

Office Phone Number

Number of Physical Servers

Physical Server(s): 0

Company Website

Number of Cloud Servers

Cloud Server(s): 0

Office Address

Address Line 1

Address Line 2

City

State

Zip Code

Your Name

First

Last

Your Phone Number

Your Email

How did you hear about us?

Please let us know how you heard about is, it is extremely valuable to us!

Email Name/Subject

Who recommended you?

Please let us know who recommended you, so that we can provide them a discount on their service!

Free Technology Assessment Form