Contact Name*

 Company Name*

 Address 1*

 Address 2

 City* State * Zipcode *

 Tel.# * Ext.   FAX

 E-mail address: * 

 Our requirements are as follows, or  I am not sure - please have someone contact me

 We are interested in receiving a quote for a service contract

 We are interested in a new system   or replacement of an existing system

 If a replacement our existing system is

 Current number of Voice lines  FAX lines   Modem lines

 Number of handsets required number of switchboards/reception stations required

 We currently have VoiceMail Number of people needing VoiceMail

 We want to answer the phone live during business hours use an automated attendant

 We require Emergency Notification via VoiceMail

 We have branch offices. We have telecommuting workers

 We need assistance with cabling for Phone system Computers

 We need assistance with PC setup Network Number of PCs

 Other connectivity needs - DSL Frame Relay   T1 Other 

 We are interested in eliminating the cost of phone calls between branches and/or remote workers
 using VoIP (Voice over the Internet) 

 Does the company have plans for relocation if so, when and to

 If this system will not be installed at the above address - where will it be installed?  
 

 Any comments or questions: