Do you consider yourself:

Computer literate Computer illiterate A computer novice, but I get by I do not use computers and do not intend to I do not use computers but intend to learn

Describe your use of E-Mail:

I use E-Mail regularly I do not use E-Mail now but intend to in the future I do not use E-mail and do not intend to

Describe your use of the Internet:

I have never or rarely use the Internet or the Web I regularly use the World Wide Web or other Net resources I sometimes use the World Wide Web or other Net resources

I use the Web in the following ways:

View Web sites of competitors           View Web sites of suppliers             View Web sites of customers             Receive regular news/financial updates
View Web sites of organizations         To make airline/travel reservations     Download or upgrade software            Search for business information       
Search for phone numbers/addresses      To purchase goods or services           

I have access to the following computer systems:

Pentium-based PC  486 or lesser PC  Apple MacIntosh   Desktop         
Laptop            Both              

I use the computer for:

Word processing     Spreadsheets        Desktop publishing  Faxing            
Graphics            E-Mail              Internet access     Games             
Playing music       Databases           Geneology           Other             

Would you like us to contact you regarding?

Personnel training programs           Information on pulse firing           A no obligation kiln survey           Kiln rebuilds                       
QC/process control                    Plant engineering projects            Developing Internet/Web capabilities  A specific problem                  
Product development/R&D               Other (describe below)                

Comments or your needs?

Please provide the following information about yourself:

Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
E-mail
URL