5/17/2008 12:48:35 AM

Please fill out the following form so that we may contact you:
(The sections marked with * are required.)

*1. Name:
2. Company Name:
3. Street Address:
4. City, State, Zip:
*5. Telephone Number:
*6. Email Address:
*7. How did you hear about us? I'm already a CompuNet customer
word of mouth
advertisement (radio or TV)
yellow pages
viewed a CompuNet-designed web site
*8. I am primarily interested in:
(check all that apply)

E-Commerce
Online Inventory Control
Online Inventory (updated by CompuNet, Inc.)
Custom Business Solution
Corporate Web Site
Multimedia/Streaming Video
Company Intranet

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Microsoft Gold Certified Partner
CompuNet, Inc.
Corporate Headquarters

337 Third Street  
Macon, GA 31201
478-738-9849  
1-800-872-5203
Fax: 478-738-9068

CompuNet, Inc.
Atlanta Office

4485 Lawrenceville Hwy
Suite 203 
Lilburn, GA 30048
678-533-0220  ·  
Fax: 678-533-0202