Services | Data Work
ELECTRONIC DATA TRANSFER

FREE SAMPLE DATA CONVERSION REQUEST

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After submitting this data conversion request, you will receive an e-mail confirming your information.

CONTACT INFORMATION

Your Title: *
First Name: *
Last Name: *
Institution Name: *

BUSINESS ADDRESS

Address line 1: *
Address line 2:
City: *
State/Province/County:
Zip Code/Postal Code:
Country: *
Phone Number: *
E-mail Address: *
How did you hear about us?:  Mail
 Convention
 Web Site
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 Customer Reference

ADDITIONAL COMMENTS

LIBRARY INFORMATION

Type of Library:
Are you currently automated?:  Yes
 No
If you answer yes, what system?:
Approximately how many patrons?:
Approximately how many items?:
What is your timeframe for a new system?:  Less than 3 months?
 3 Months?
 6 Months?
 More than a Year

ADDITIONAL COMMENTS

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