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CONNX Product Registration

Please fill out the requested information.
* Denotes required field.

  1. Please provide the following information:
    *First name
    *Last name
    *Title
    *Organization
    *Street address
    Address (cont.)
    *City
    *State/Province
    *Zip/Postal
    *Country
    *Work Phone
    *E-mail
    *Product

    2. Alternate Email Address:  

  2. What databases/OS does your organization currently use?
    Access ADABAS C-ISAM Dataflex
    DB2/MVS DBMS FoxPro IDMS
    IMS Informix Ingres NT
    Oracle Paradox Promise Powerhouse
    RDB RGB RMS MS SQL Server
    Sybase UNIX VSAM VMS Focus
    Other (SPECIFY):

  3. Where did you hear about this product?


  4. What were the two factors that most influenced your decision to purchase this product?

    Promotion/Special offer
    Recommended by friend or colleague
    Price performance
    Other (SPECIFY):

  5. How do you plan to utilize this product?
    Application Development Data Migration
    Reporting Tool Data Access to multiple disparate databases
    Other (SPECIFY):

  6. Did you purchase support?

    Yes No

  7. Did you purchase Consulting/Implementation services?

    Yes No

  8. Approximately how many people work at your location?


  9. Do you wish to be informed of new product information?

    Yes No

  10. Would you like a complimentary subscription to CONNX Solutions's quarterly CONNX newsletter?

    Yes No

  11. Primary Business of Company