Company

    *

    Office Phone

    *

    Name

    *


    First Name


    Last Name

    Mobile Phone

    Title

    Email

    *

    Website

    Business Information

    Number of Locations

    Business Notes

    Existing Phone System Information

    Phone System Brand

    Phone System Type

    Extensions

    Remote Extensions

    Phones

    Users

    Paging Zones

    Existing Phone System Notes

    Existing Telecom Information

    POTS Lines Used for Voice

    Quantity

    Provider

    Monthly Fee


    T1/PRI PSTN Connections

    Quantity


    T1/PRI Channels Dedicated to PSTN Voice

    Provider

    Quantity

    Provider

    Monthly Fee


    PSTN VOIP/SIP Trunks / Call Channels

    Quantity

    Provider

    Monthly Fee

    Existing Internet Information

    Internet Connection 1

    Monthly Fee

    Type


    Speed

    Provider



    Static IP Addresses




    Internet Connection 2

    Monthly Fee

    Type


    Speed

    Provider



    Static IP Addresses




    Firewall

    Internet Notes

    New Phone System Information

    Number of Simultaneous Calls Required

    Call Center Features Required


    Server Required

    Firewall Required


    PoE Ports Required

    IP Phone Brand Preference

    Standard IP Phones

    Full-Feature IP Phones

    IP Phone Power Supplies

    Economy IP Phones

    IP Video Phones

    IP Video Phone Power Supplies

    IP Conference Phones

    IP Conference Phone Power Supplies

    Headsets Required


    Ports Required

    Paging System Zones

    PRI

    FXO

    FXS

    New Phone System Notes

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