Your Name:
Title:
Company:
Address:
City:
State/Province:
-- State/Province -- Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory
Country:
Postal Code:
Telephone:
Fax:
E-mail:
Sales Rep:
What industry is your company in? Select One Consumer Products Electronics Oil & Gas Process Industries Government/Public Sector Utilities & Telecommunications Education Environmental Transportation Independent Software Vendor Banking Insurance Manufacturing Healthcare Retail/Wholesale Services--Contracting Aerospace & Defense Automotive Chemical Pharmaceutical Other (describe below) Other:
Which Compuware products do you use? Abend-AID DevPartner DriverStudio File-AID OptimalFlow OptimalJ OptimalView PointForward QACenter STROBE UNIFACE Vantage XPEDITER
How long have you been using Compuware products and services? Select One 1-6 months 6-9 months 9 months to 1 year 1 to 2 years 2 to 5 years 5 to 10 years 10 or more years
Do you use Compuware products to support mission-critical applications? yes no
Please explain where Compuware products have been most helpful:
Please describe the benefits you gain from working with Compuware products (i.e., increased productivity, lower costs):
Who should we contact about possibly building a customers in action story with your organization?
Name:
Title:
Telephone:
