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New Business Contact Form
Strategic Partnership and Hosting Inquiries
We would like to invite you to give us an idea about your key markets and organizational needs with Nlets. In order to select the right audience for you, we request additional information by requiring the completed fields below.
*
Company:
Year Founded :
*
First Name :
*
Last Name:
*
Position:
*
Email:
*
Phone:
Fax:
Website:
*
Street Address:
*
City, State:
*
Zip Code:
*
Where is your company/agency headquartered?:
*
Which of the following Nlets services do you need additional information about? :
Strategic Partnership
Hosting
Consulting
State/Federal Membership
*
What is the purpose/intent for requesting this information? :
*
How would you categorize your company/agency? Provide a brief overview. :
How many state/federal agencies does your company/agency currently service? :
*
Do you need to utilize the Nlets network? :
Yes
No
*
Are you interested in a hosting quote? (If yes fill out the questions below):
Yes
No
How much rack space will you require? :
Will you require redundant power supply? :
Yes
No
How much Internet bandwidth will you require? (In 5MB increments):
Would you prefer Smarthands, our full-time support service, or On Demand remote service? :
Smarthands
On Demand
Please describe any additional hosting requirements.:
Additional Comments :
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