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.i <br />ESA/ j Environrmental Phone (714) 793.2853 <br />Systems TWX 910 -332 -1317 <br />JJResearch FAX (714) 793 -5953 <br />Ins»te.lnc <br />DOMESTIC CLIENT INFORMATION PROFILE <br />Customer Name: <br />Address: <br />Contact: <br />Telephone: <br />Telex: <br />Fax: <br />End User: <br />Address: <br />Contact: _- <br />Telephone: <br />Telex: <br />Fax: <br />Total Number or Computers: <br />For Push Computer: <br />Computer Mfg: <br />Model Name: <br />Operating System Name: <br />Operating System Version: <br />Network Type: <br />Network No.: <br />System Manager. <br />System Manager Phone: <br />Technician/Contact: <br />Contact Phone: <br />Key User: <br />Ship to: <br />Address: <br />Contact: <br />Telephone: <br />Telex: <br />Fax: . <br />Bill to: <br />Address: <br />Contact: _ <br />Telephone: <br />Telex: <br />Fax: <br />CPU TD: <br />CPU Option: <br />Media: <br />Single/Multi -User. <br />FPA/NON -FPA: <br />Monitor. <br />Digitizer. <br />Plotter. <br />Printer. <br />Graphic Card: <br />Misc. Device: _ <br />Key User Phone: <br />39 <br />5/89 <br />