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Contact Information
¤ Indicates required fields
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Salutation:
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First Name: ¤
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Last Name: ¤
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Title:
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Dept/Function:
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Email Address: ¤
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Password: ¤
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Password Confirmation: ¤
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Phone Number: ¤
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Fax Number:
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Reseller Name:
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Reseller Address:
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Reseller Phone Number:
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Billing Address
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Organization Name: ¤
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Street Address 1: ¤
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Street Address 2:
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City: ¤
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State: ¤
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Zip Code: ¤
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Order Confirmation Email Address: ¤
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Organization URL:
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Shipping address
*Please note: HP.com Business to Business cannot ship to PO Boxes.
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Same as billing? (check for yes)
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Street Address 1:
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Street Address 2:
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City:
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State:
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Zip Code:
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Company Information
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Which best describes your company's business? ¤
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Yearly Revenues: ¤
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Number of Employees: ¤
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Number of Offices/Locations in the US: ¤
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Network Operating System (OS): ¤
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Technology Information
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What is your organization's annual IT budget? ¤
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How many units of the following products do you anticipate purchasing in the next year?
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Desktops: ¤
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Portables: ¤
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Servers: ¤
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What is your primary brand for the following products?
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Desktops: ¤
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Portables: ¤
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Servers: ¤
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What is your primary OS? ¤
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What is your organization's typical method of purchase when buying information technology? ¤
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Are you willing to be contacted by a reseller to discuss potential service and support opportunities? ¤
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May we notify you by email of special offers, events, products, or service information updates? ¤
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