Name
Job Title
 
Company
	
Address
	
Operating Systems you use
	
Internet Connection:  
- interactive  
- uucp 
- SLIP/PPP
- dedicated
Use of Linux: 
Languages you use:  
Applications you use
	
Applications you would like to see ported to Linux 
	
Do you plan to buy computer hardware:
 
- now
- within 6 months
- within 1 year
Books you would like to see published
 	
Articles you would like to read
 
Rate (1-3) your sources of information on Linux:
- Internet
- Linux Journal
- meetings of...
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