Company Name *

First Name *

Last Name *

Email *

Billing Street Address *

Address Line 2

City *

State / Province *

Postal / Zip Code *

Country *

Company Website *

Business Start Date * In what year did your company begin operations?

Primary Geographic Regions of Service * United States Asia Canada Central America South America Europe Russia Caribbean Africa Middle East Australia/New Zealand What states/provinces, countries, and/or regions does your company primarily provide services in?

Number of Employees * 1-5 6-20 21-100 101-500 501-1000 1000+

What percentage of your employees are technical staff? * 0% 25% 50% 75% 100%

What services are covered under your typical contract? *

What is your IT project process? *

List any Certifications / Associations you or your company have. *

Rate Your Nagios Knowledge/Experience * Advanced Intermediate Beginner None How experienced is your company with working with and providing professional offerings for Nagios?

Commercial Customers * 0 1-10 11-25 26-50 51+ How many professional deployments or customers does your company currently have?

Nagios Feature Experience * Redundant / failover setupsDistributed setupsEvent handlersPassive checks Tell us what types of Nagios features you have experience working with.

Rate Your Infrastructure Monitoring Experience * Advanced Medium Beginner None

In what areas do you plan to offer monitoring? * ServersLinuxIOTWebsitesWindowsMacNetworkingWeb Applications

Operating System Experience * WindowsLinuxSolaris*BSDAIXOther

Additional Relevant Information *

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