Computer Type
Modem Type
Modem Model
Modem Speed
Modem Init String
Computer Type
Modem Type
Modem Model
Modem Speed
Please indicate any other information about your modem connection:
Sample Menu Bar
Windows 3.x
Windows 95
Windows NT
Novell/Windows
Macintosh System 7.X
Other
Questionnaire
Fill out this form for more information about:
Real Estate
Comox Valley Mac Users Group
The Digital Ark
Home Office Computer Networks Inc.
Irenyx Data Group
Valley Computers Ltd.
Caller Information
First Name
Last Name
Company
Title
Address Information
Home
Business
Mail address
Street address
City
Province/State
Postal/Zip Code
Country
Phone
Fax
E-mail
For specific information please indicate below:
