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 Information Request Form

If you are interested in receiving more customized information based on what you are looking to do with your new Apple products, you can fill out this form and give us an idea of which direction to point you in. It's a few simple questions, but will greatly increase our effectiveness in hooking you up with the perfect Apple products for you!

Personal Info
Name:
E-mail Address:
Age:
City, State
(or Country):
What do you want to primarily use your computer for?
Other Use:
Where do you plan to primarily use your computer?
Other Place:
What is your budget range for a new computer?
Product Information
Computer you are
Currently Using:
What Apple products are you interested in purchasing? (Check all that apply)
iPod iPod Mini iPod Photo iPod Shuffle
iPod Accessories Mac Mini eMac iMac G5
iBook G4 PowerBook G4 PowerMac G5 Mac OS X 10.4 Tiger
AppleCare Protection Plans Mac Accessories iTunes Wireless Networking Products
Additional Comments or Questions?