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Shawmut Education Sales Form

If you're in need of our technology services please complete the following form to the best of your ability. Please be sure to select all services that are of interest to you. If you have questions, please feel free to ask via email or call us toll free at 877-625-0282.

If you wish to schedule an appointment please make a note of our general schedule as you look to your own to coordinate what would be the most convenient for you to do so.

 First Name:  Last Name:
 
 
 Email:
 
 Country Code  Area Code  Phone Number  Extension  Type
 
 
 
 
 
 Address
 
 City  State
 
 
 Zip  Country
 
 
 
1.  Organization 
Name 
 
1A.  Please copy and paste the mission of your organization in the space below. 
 
 
2.  Do you currently have a web site. 
Yes 
No 
 
2A..  If so what is the URL ? 
http:// 
 
3.  If you are looking to start a domain what is the domain name of your choice 
 
 
4.  How many people in your organization 
 
 
  Computer Services 
 
5.  Indicate what web services you are seeking. Please choose all that apply 
a. 
b. 
c. 
d. 
e. 
 
5A..  If your interest is in your organizations website please indicate in your own words what you feel is needed regarding your website. 
 
 
5B.  If your need is regarding your organization website please indicate yes or no if you need for Shawmut Education to provide an initial assesment regarding your website needs. Please note that an initial assessment is free of charge. More detailed analysis such as content audits, site maps and other analytics are available for a fee. 
 
 
 
6.  Indicate what computer training services you are seeking. Please choose all that apply 
a. 
b. 
c. 
d. 
e. 
 
7.  Review the following training opportunities and please choose all that apply 
a. 
b. 
c. 
 
CSD  Career Services Division 
 
8.  If you are inquiring about placement needs please choose all that apply. 
a. 
b. 
c. 
d. 
e. 
f. 
g. 
 

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