General Inquiry
Thank you for your interest in SiemensCommunications, the leader in Unified Communications Solution. To help us better serve you, we'd like to get to know a little more about you. Please provide us with the following information. (*) = Required field.
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*	First name
*	Last name
*	Job title
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*	Company
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*	Country	< Choose One > United States (USA) American Samoa (ASM) Argentina (ARG) Aruba (ABW) Australia (AUS) Austria (AUT) Bahrain (BHR) Barbados (BRB) Belgium (BEL) Belize (BLZ) Bolivia (BOL) Brazil (BRA) Canada (CAN) Central African Republic (CAF) Chad (TCD) Chile (CHL) China (CHN) Congo (COG) Costa Rica (CRI) Cyprus (CYP) Denmark (DNK) Djibouti (DJI) Dominican Republic (DOM) Ecuador (ECU) Egypt (EGY) Ethiopia (ETH) Fiji (FJI) Finland (FIN) France (FRA) Germany (DEU) Ghana (GHA) Gibraltar (GIB) Greece (GRC) Greenland (GRL) Guam (GUM) Honduras (HND) Hungary (HUN) Iceland (ISL) India (IND) Ireland (IRL) Israel (ISR) Italy (ITA) Jamaica (JAM) Japan (JPN) Kenya (KEN) Korea, Democratic Peoples Republic of (PRK) Korea, Republic of (KOR) Kuwait (KWT) Latvia (LVA) Luxembourg (LUX) Mexico (MEX) Monaco (MCO) Morocco (MAR) Mozambique (MOZ) Netherlands (NLD) New Zealand (NZL) Nicaragua (NIC) Niger (NER) Nigeria (NGA) Norway (NOR) Oman (OMN) Pakistan (PAK) Panama (PAN) Paraguay (PRY) Peru (PER) Phillipines (PHL) Poland (POL) Portugal (PRT) Puerto Rico (PRI) Qatar (QAT) Romania (ROM) Rwanda (RWA) Saudi Arabia (SAU) Senegal (SEN) Singapore (SGP) Somalia (SOM) South Africa (ZAF) Spain (ESP) Sudan (SDN) Sweden (SWE) Switzerland (CHE) Syrian Arab Republic (SYR) Taiwan (TWN) Thailand (THA) Togo (TGO) Tonga (TON) Turkey (TUR) Ukraine (UKR) United Arab Emirates (ARE) United Kingdom(GBR) Uruguay (URY) Venezuela (VEN) Virgin Islands, UK (VGB) Virgin Islands, US (VIR) Yemen (YEM) Yugoslavia (YUG) Zaire (ZAR) Zambia (ZMB) Other Not Specified
*	Industry type	< Choose One > Agriculture Communications Construction Education Energy & Utilities Federal Government Finance, Insurance, and Real Estate Healthcare Hospitality Legal Manufacturing Mining Public Administration Retail Trade Transportation Wholesale Trade
*	Are you a Siemens Communications Customer?	Yes     No     I don't know

*	How many employees are in your company?	< Choose One > Less than 100 100-400 401-1000 Over 1000
*	Please provide information about your location:	< Choose One > Headquarters/Only Location Regional Office Branch Office Other
*	What is your role in the purchase of communications solutions at:
	Your company's headquarters?	< Choose One > Specify Functional requirements Specify Technical requirements Evaluate & Recommend Final Business Unit Decision Maker Final IT Decision Maker Other None
	Your company's branch/regional offices?	< Choose One > Specify Functional Requirements Specify Technical Requirements Evaluate & Recommend Final Business Unit Decision Maker Final IT Decision Maker Other None
*	Is your company planning any of the following?	< Choose One > Move Expansion System Purchase System Upgrade Merger None
Which of the following solutions are you interested in? (Please select all that apply)
Access Points CRM Solutions Applications Network Solutions Availability Mobility and Unified Communications Solutions Communication Platforms Industry Solutions (Finance, Healthcare, etc.) I&C Infrastructure Siemens Online Management Service Support (Maintenance) Workpoint Clients Complete Package of Communications Systems Partnered Solutions (Technology Partners)
Additional Comments or Questions
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