Thank you for your interest in GlobalCerts. To receive your no obligation quote, please tell us
about yourself and your project:

*Field input required.

*	First Name:
*	Last Name:
	Title:
*	Company:
*	Phone Number:
*	Email Address:
	Please tell us about your secure email project:
*	Is your organization mandated to comply with HIPAA, Sarbox or GLBA?	Select one HIPAA Sarbox GLBA No or Not Sure
*	How many email users are in your organization?
*	How many users require the ability to send and receive encrypted email?
*	Primarily, who will these users be sending encrypted emails to?   (Check all that apply.)        Recipients with an email address but no encryption/decryption capabilities       Recipients with an email address and a public key       Recipients with an email address and an S/MIME gateway device       Not Sure
	Do you currently have an Anti-Spam solution?	Yes No Not sure
	Do you currently have an Anti-Virus solution?	Yes No Not sure
	Is your Anti-Virus solution installed on your email server, installed on the end-users’ desktops or is it an appliance solution?	Select one Email Server Desktops Server and Desktops Appliance Appliance and Desktops Not sure
*	What is the average size of emails sent from your organization?	Select one 2KB > 200KB > 1MB > 2MB > 5MB > 10MB Other
*	Is failover and redundancy a requirement?	Yes No Not sure
	Please provide an estimate of inbound email traffic (SMTP traffic coming from the Internet (e.g. msgs per day)):
	Please provide an estimate of outbound email traffic (SMTP traffic destined for the Internet (e.g. msgs per day)):
	Please tell us about your organization’s decision making process:
	When are you planning to make a purchase decision?	Select one 2 weeks 1 month 2 months < 6months < 12months
	What is your role in the purchase decision?	Select one Decision Maker Recommender User Other
	What stage in your decision process is your organization?	Select one budget approval information gathering final decision other
	When are you going to make a purchase decision?	Select one 2 weeks 1 month 2 months < 6months < 12months
*	Are you currently working with a Reseller or GlobalCerts Sales Representative?	Yes No
*	If yes, who?
	Additional Information (please provide any additional information about yourself, your project or your company):

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