XS-TECHNOLOGIES

We are happy that you are taking the time to apply for our "Members-Only" Primary Point of Contact Agreement (PPOC Agreement). We took the time to make it as simple as possible to apply, so it should only take a few minutes of your time. After all, it is as simple as 1-2-3:

Residential
Non-Profit
Commercial

Your Name
Your Title
Organization Name
Organization Address
Name of decision maker (if not you)
Executive Board?	Yes No
# of Full-Time Employees
# of Part-Time Employees
# of Volunteers
# of PCs
# of Smart Phones
# of Printers
Do you have a network?	Yes No
Do you have a Wireless network?	Yes No
Budget
	Monthly Quarterly Annually
Your Phone
Extention
Your Email
1st Business Reference

2nd Business Reference

3rd Business Reference

Any other information?

Your Name
Your Title
Organization Name
Organization Address
Name of decision maker (if not you)
# of Full-Time Employees
# of Part-Time Employees
# of Independent Contractors
# of PCs
# of Smart Phones
# of Printers
Do you have a network?	Yes No
Do you have a Wireless network?	Yes No
Budget
	Monthly QuarterlyAnnually
Your Phone
Extention
Your Email
1st Business Reference

2nd Business Reference

3rd Business Reference

Any other information?

Your Name
Your Address
	Rent Own
# of PCs
# of Smart Phones
# of Printers
# of People in residence
Budget
	Monthly Quarterly Annually
Your Phone
Your Email
Any other information?

XS-TECHNOLOGIES

(912) 376-TECH [8324]