Salutation: Select one ----- Mr. Mrs. Ms. Dr.     First Name: Last Name: Email: Company: Phone: Phone (PM): Address: Suite/Apt: City: Postal/Zip: How would you like us to contact you? Email Phone

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Free services must be used within 45 days of notification of award. Labour charges only -- does not include expenses for hardware, software and/or travel. All participants agree to have their company name and award published on the "Burris Networks" website should they be a winner in the draw, and available (in written form) to any third party on request. Participants in draw must be new customers of "Burris Networks" at time of network assessment. Draw will take place two business days after 15th network assessment, and winners will be notified immediately. Complete list of winners can be requested and will be available on the "Burris Networks" website five business days after draw takes place.