If you wish to receive more information about ECS or would like a quote specific services, equipment or software, please fill out the information below and an ECS representative will contact you.

Contact Information:

Please complete the information below:

Name
Company Name
Street Address
City
State
Phone Number
Fax Number
E-Mail Address

Type of Services or Equipment Desired:

Type of Service:

Hardware Software Service Contract Other

If "other has been selected, please specify below:

Software Platform Currently Used:

Windows 95 Windows NT Windows 98 Apple DOS

Computer System Quote:

Complete the following if a computer station quote is requested.

What Software Platform do you wish?

Windows 95 Windows NT Windows 98 Apple DOS

Will this computer be part of a network?

Yes No

What will the primary use of this computer be?

File Server Accounting ApplicationsHome Office/Leisure Graphics Design Other

What additional options do you wish? 

CD-ROM     Sound Card    Network Card   
14" Monitor 17" Monitor    21" Monitor    
32MB Ram    64MB Ram   128MB Ram
Pentium II Processor  
What CPU Speed are you looking for?

Please enter any additional items or comment:


FORM SUBMISSION

The submitted information is for ECS use only, and will not be given to any other companies or 3rd parties.