| Company Name |
|
| Address |
|
| City |
|
| Zip Code |
|
| Name |
|
| Email Address |
|
| Phone |
|
| Fax |
|
| How did you hear about us? |
|
| This system is for: |
|
|
| |
PHONE LINES |
| New amount of Phone Lines needed? |
|
| |
JACKS |
| New amount of Phone Jacks needed? |
|
| New amount of Data/Printer Jacks needed? |
|
| New amount of Video Jacks needed? |
|
| New amount of Fax Jacks needed? |
|
| New amount of Credit Card/POS Jacks needed? |
|
| |
PHONES |
| How many PHONES needed? |
|
|
| Do you want FULL-DUPLEX, AUDIO CONFERENCE PHONES? |
|
Yes
No
If yes, how many?
|
| |
VoIP CONNECTIVITY |
| Do you want REMOTE IP PHONES? |
|
Yes
No
If yes, how many?
|
| Do you want CONNECT MULTIPLE PHONE SYSTEMS? |
|
Yes
No
If yes, how many?
|
| |
MISCELLANEOUS |
| Do you want CALLER-ID? |
|
Yes
No
|
| Do you want OVER-HEAD PAGING? |
|
Yes
No
|
| Do you want a GATE ENTRY SYSTEM? |
|
Yes
No
|
| Do you want a PEDESTRIAN GATE INTERCOM SYSTEM? |
|
Yes
No
If yes, how many?
|
| Do you want CALL ACCOUNTING SOFTWARE? |
|
Yes
No
|
| Do you want an IN-HOUSE FAX SERVER? |
|
Yes
No
If yes, how many?
|
| Do you want your VOICE MAIL INTEGRATED WITH YOUR EMAIL? |
|
Yes
No
If yes, how many?
|
| Do you want your VOICE MAIL SENT TO YOUR EMAIL AS WAV FILES? |
|
Yes
No
If yes, how many?
|
| |
ANY SPECIAL REQUESTS OR REQUIREMENTS FOR YOUR NEW SYSTEM
(i.e. a T-1, outside sales reps needs, e-mail integration, etc?)
|
|
| I am interested in products manufactured by: |
|
| |
|
|
