Title:	* Please enter a title.
Publisher:	* Please enter a publisher name.
Vendor Name:	* Please enter a vendor name.
Contact Name:	* Please enter a contact name.
Address:	* Please enter the address.
City:	* Please enter a city.
State:	* Please enter a state.
Zip Code:	* Please enter a zip code.
E-mail Address:	* Please enter a email address.
Phone:	* Please enter a phone number.

What type of customer support is offered? (check all that apply)	Telephone E-mail Live Chat All of the Above Other

Is customer service available 24 hours a day, seven days a week?	Yes No

If not, what are the hours?

Is this a new product that was born in the digital format or is it an electronic version of an existing print product? (choose one)	Digital E-Version of Print

If this is an e-version of a print product, is it an exact e-replica of the print?	Yes No

If no, in what ways does it differ from the print? Please be specific about differences in content, frequency, etc.

What is the type and breadth of the database? (check all that apply)	Full Text Bibliographic Statistical Graphics Abstracts Finding Tool Access Tool Annotation All of the Above Other

Dates of Coverage

How often will the information be updated?	Daily Weekly Monthly Quarterly Annually Other

Is the information being archived?	Yes No

If Yes, describe the arrangements for preservation archiving.

What is the format of the resource? (choose one)	CD-ROM Web-Based Other

Where does the content reside? (choose one)	WISPALS Server Vendor/ Publisher Server Other

Are there any special hardware or software requirements?	Yes No

If yes, please describe.

Access to database is authenticated via: (choose one)	IP Address Username / Password Both Other

Statistical reports are available at what level? (choose one)	Individual Subscriber Consortium Both Other

Statistical reports are available: (check all that apply)	Annually Quarterly Monthly On the Web Via E-Mail Upon Request All of the Above Other

The content is being offered for: (choose one)

Purchase
License
Both
Other

Will this database require special training?

Yes
No

If yes, will training be provided at no cost?

Yes
No

IWhat are the start-up costs for the database? (fill in all that apply)

Setup Costs	$
Storage Costs	$
Training Costs	$
Maintenance Costs	$
Other	$
TOTAL Costs	$

What pricing model is established for this resource? (check all that apply)

Flat Rate/Unlimited Access
Flat Rate for Simultaneous Users
Discount Based on Percent
Based on Per Public Workstation
Based on FTE=$/FTE Range
All of the Above
Other

What additional discounts will you offer to WISPALS members on related products?
(Fill in all that apply)

CD-ROM Subscriptions	%
Other Web Products	%
Paper Products	%
Other	%

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