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You should also check out StartupCPL (not msconfig, as that is designed as a diagnostic tool). Removing unused startup processes is the best/fastest way to get significant speedups.
In addition, I would recommend [Start->Run->"services.msc"] - Disable services you know you'll never need, and switch the services you will rarely use to "Manual".
I do not recommend disabling automatic updates, though. I've serviced several computers that were fixed by simply running windows update - that's $150 someone could have saved.
Don't forget to run the Registry clean up too. There are some better registry cleanup tools, but not many. They also charge for their software.
@kidmosey is correct. msconfig is only a diag tool. It really annoys me when I see a previous tech has used it to disable startups and left the job incomplete. In tools on CCleaner there are two very useful tools.
The first is the Uninstall tool. It tells you a lot more about the application and where it came from than the windows version. Also, there is the option to delete entries that got removed but did not clear from the list. That will slow things down a bit if windows is looking for something that should be there but isn't.
The second is the Startup tool. There you can disable and/or remove items that you don't use or want running all the time. Again, the path included helps to tell a lot about what the app does.
The tool I recommend that is a pay after 30 day trial is System Mechanic Pro. (NOT Registry Mechanic) http://www.iolo.com/system-mechanic/pro/download.aspx It does a much more thourough job and will help prevent some of the nasty new Fake AV crap