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All mandatory fields are marked with an asterix (*).

Name: (*)		Town: (*)
Company:		Tel: (*)
Country: (*)		Email: (*)
Solution Information
Areas of Interest: (*) iWay Broadband iWay Dedicated iWay Corporate Networks Other
Describe your organization and the purpose for which you intend to use the iWay service.
About your Firm
How many computers do you have on your LAN?
Which of the following have you implemented on your LAN?
Proxy Server		Which type of proxy server?
Router/Firewall		Graphical Link Utilization Management
Email Server		Website
Cache Server		Where is the website hosted?
Email Applications		Access Control Management Software
Which services do you require?
Internet browsing services		Private networks and Virtual private networks
Fax over IP		Voice over Internet Protocol (VoIP)
Domain Hosting		Audio and Video streaming
Web hosting		Other (please specify below)
What do you require from us?
Consultation to further assess your exact requirements.
Presentation of iWay and what it can do for me.
Additional Information?
How did you hear about us? (*)
Specify: (*)