Contact Form
To be able to contact you, we need your name, address, email, and answers to 3 important questions. No-one else will ever get this information. In advance, thank you for your interest in our products.
* These fields must be filled
Your name:
*
Company / Institution:
*
your e-mail:
*
Address:
Line 1
Line 2
City:
state:
zip:
Country:
Phone:
Is this a teaching institution?
yes
no
Do you possess an Optical Mark Reader?
yes
no
if yes, what make, type and model?
Make:
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Pearson-NCS
Scantron
Fujitsu
Other
Type:
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48 column 6/inch USA
40 column 5/inch METRIC
Other
Model:
Printer & Paper Sizes:
Printer:
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any MS Word-supported
HP Laser/Jet compatible
Epson Stylus/Jet compatible
Generic Epson-type matrix
IBM Proprinter compatible
other
don't know
Paper Size:
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USA Letter width
A4 width
Other widths
Optional information, notes or questions
How did you hear of us?
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Web Surfing
Search Engine
Advertisement
Word of mouth
Client reference