INFORMATION REQUEST FORM Please tell us more about your requirements, so we can respond in detail: Name: Company: Phone: Fax: E-Mail: Address: City: State/Zip:    How did you hear about us? Web Search Advertising Recommendation Other What types of product or solution are you interested in? Enterprise Servce Provider Broadcast CCTV FSO Radio 10/100 Ethernet Gigabit Ethernet Voice Point-to-Point Point-to-Multipoint Please tell us about yourself: Please Select One ----> End User Service Provider Network Integrator Distributor Other -> Other: Description of requested item/project: Any Other Comments: CableFree Terms and Conditions of Sale