Customer Account

Name (First, Middle, Last): 
Title: 
Company Name: 
Division: 
Address: 
 
City, State, Zipcode: 
Country: 
Phone: 
Fax: 
Email: 
Password: 
Confirm Password: 

THE FOLLOWING QUESTIONS ARE DESIGNED TO HELP OCC MORE PRECISELY MEET YOUR NEEDS:

1. Does your company purchase, install or specify fiber optic and/or copper cabling and connectivity components and systems?
 Purchase
 Install
 Specify
 None of the above
2. How does your company utilize cabling and connectivity components and/or systems? (check all that apply)
 LAN
 WAN
 Voice
 Video
 Data
 Security
 Industrial Controls
 Monitoring
 Exploration/Minig
 Other
Specify Other:
3. Have you purchased, installed or specified OCC products in the past?
 Yes   No
4. If yes, how frequently do you purchase from us?
 Daily
 Weekly
 Monthly
 Quarterly
 Annually
 Other  
5. What products do you typically purchase from OCC? (check all that apply)
 Indoor Fiber Optic Cable
 Outdoor Fiber Optic Cable
 Cooper Cable
 Copper Connectivity
 Fiber Optic Connectivity
 Residential Solutions
 Rack Solutions
 Wireless Solutions
Specify Other:
6. If No, how did you find out about us?
 Tradeshow
 Advertisement
 Online Search
 OCC Sales Rep
 Distributor
 Other
Specify Other:
7. When will you next purchase cabling and/or connectivity components?
Time to Purchase: 
Project Size: 
8. Should one of our sales representatives call you to: (check all that apply)
 Help your company plan for upcoming projects
 Discuss OCC product advantages for your company's specific applications
 Bring you copies of OCC's current literature
 Review product offerings from OCC
 Discuss specialized applications
 Don't call
 Other
Specify Other:

THE FOLLOWING QUESTIONS ARE DESIGNED TO HELP OCC KNOW YOU BETTER IN ORDER TO SERVE YOU MORE EFFICIENTLY:

1. What is your job function:
Specify Other:
2. Which best describes your company's business?
Specify Other:
3. Which trade show(s) do you typically attend? (check all that apply)
 AFCEA
 BICSI
 AFCOM
 NECA
 CeBit
 OTC
 ExpoComm
 FOSE
 SME
 MinExpo
 NAB
 IBC
 Other
Specify Other:
4. What trade publications do you read? (check all that apply)
 Cabling Business
 Cabling Installation & Maintenance
 BICSI News
 Broadcast Engineering
 Industrial Ethernet
 TED Magazine
 EC & M
 Lightwave
 Coal Age
 Other
Specify Other:
5. Comments:
6. Preferred Method of Contact: