Remote Backup Order Form

DataSure Services requests that you assist us in better serving you by submiting the following information. When you have entered all the information, click on the "Submit Query" button at the bottom. To register additional users, click on "Reset", then enter them and click Register again.

DataSure Services will respect the privacy of those submitting information, as data protection issues are sensitive, and client confidentiality is of great importance to us. If you are not comfortable with supplying any of the information requested, feel free to omit it, but keep in mind that the better that we understand your needs, the better we can tailor our responses. The contact information is to provide for alternate means of communication, should there be any temporary problems impeding the timely distribution of information, and also such that we might use delivery methods best suited to the materials.

Your Name?

Your organization?

Your Position

Your email address

Your Fax Number

Your Telephone Number

Mailing Address

Preferred method of Contact:
Email
Fax
Post

How many users at your site?

Which Operating and Network Systems do you use?

• DOS

• OS/2

• Windows NT

• Windows 95

• Novell

• Macintosh

• Unix

• If Unix, please specify

• VAX/VMS

• Others

You disk has a capacity of MB.

Compressed

What is your current maximum telecom speed

• 28.8

• 56k Switched

• ISDN BRI (128Kbps)

• ISDN PRI (T1)

• T3

• Others

Your telecom service provider

DataSure Services thanks you for your assistance.