First Name* Last Name* Title* Organization Name* Organization Address* Address 2 City* State* Please select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip/Postal Code* Business Phone* Email Address* Name of offer *Required Information	Which of the following describes your job role? Select a job role... Academic Administrator Agent / Representative Analyst Assistant to President/CEO Auditor Board Member Business Development Manager Cabinet Official Case Worker CEO-Chief Executive Officer CFO-Chief Financial Officer Chairman Chief Scientist CIO-Chief Information Officer CKO-Chief Knowledge Officer Claims Worker CMO-Chief Marketing Officer Commissioner Contract Specialist Controller COO-Chief Operations Officer Corporate Attorney Council Member CPO-Chief Privacy Officer CTO-Chief Technology Officer Database Administrator Developer Developer Manager Director Elected Official Enterprise Architect Faculty General Manager Helpdesk Technician HIPPA Coordinator Infrastructure Architect IT Implementer Judge Justice & Public Safety Officer Justice Official LAN Administrator Legal Associate Legal Official Liscence Specialist Management Consultant Manager Marketing Professional Military Official Nurse Other Owner Partner/Managing Director Pharmacist Physician Plant/Site Manager President Project Director/Manager Project Team Member Public Safety Official Sales Representative Security Official Solutions Architect Specialist/Professional Storage Specialist Strategist Strategy Architect Student Systems Engineer Technical Contractor Technical/Business Consultant Technology Evaluator Trainer Tribal Official Undersecretary Vice President Web Developer/Designer Web Master In what department do you work? Select a department... Finance/Accounting Customer Service/Support Executive/General Management Information Systems/Technology Operations Sales Marketing What is the total number of PCs in your organization? Select number of PCs... 1 - 5 6 - 100 101 - 250 251 - 500 500+ Additional Comments
Thank you for your interest in Microsoft Incentives. If you are a Microsoft partner, please e-mail askmsi@microsoft.com or call 1-800-735-5232 for further information.