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One Stop Business Centers, Inc.

PLEASE NOTE: The fields marked with an asterisk (*) are required.

* First Name:

* Last Name:

*Organization:

Title/Dept.:

Address 1:

Address 2:

City:

State:

Zip:

Country:

* email:

* Phone:

* Who is your present office equipment vendor?

* What type of office equipment will you purchase next?

* What is your expected time frame for your next office equipment purchase?

0-3 Months

4-12 Months

1 Year+

No Plans

* Do you currently outsource your computer networking needs?

Yes No