Company: 
Title: 
Contact: 
Email: 
Phone: 
Fax: 

Please answer the following questions:

1. System vendor name:
   
   
2. Database in use:
    Oracle
    Sybase
    Microsoft
    Informix
    other:
   
   
3. Conversion requirements:
    on site
    off site
   
   
4. Conversion Start Date:
   
   
5. Completion Date:
   
   
6. Specify data type to be converted:
    images
    forms
    annotations
    graphics
    CAD
    Cold
    ASCII text
    other:
   
   
7. Optical disk or tape manufacturer:
   
   
8. Optical Capacity (MB, GB):
   
   
9. Size of media (e.g., 12", 5.25"):
   
   
10. Total volume of optical disks or tapes:
    
    
11. Estimated number of documents / pages to be converted:
    
    
12. Available media for conversion: primary or backup:
    
    
13. Backup media supported tape types
     DLT 20/40
     DLT 35/75
     DDS2 4mm
     DDS3 4mm
     DDS3 8mm
    
    
14. If using backup media, Softech backup software supported, please specifiy:
     Arch Serv
     NT backup
     UNIX TAR
     other:
    
    
15. Can the system to be converted be accessed via dial up using (PCAnywhere)?
     yes
     no
    
    
16. Softech requires samples of the data to benchmark the conversion process, can samples be sent to Softech?
     yes
     no
    
    

Part II. NEW SYSTEM

1. New system vendor name:
   
   
2. New system database:
   
   
3. Image format required:
    TIFF
    GP3
    GP4
    ASCII
    other:
   
   
4. Media format required:
   
   
5. Disk or tape manufacturer and capacity: (MB, GB):
   
   
6. Are tranlog / backup copies of delivery media required?
    yes
    no