(Items in red are required to process this form.)

Name:

Title:

Company:

Address:

City:

State:

Zip:

Cntry:

Phone:

Fax:

E-Mail:

Comments, questions or suggestions:

 
(Include the following information where possible.)

Current system:

Name:

How many incoming lines:

How many stations:

System Needs:

How many incoming lines:

Possible growth:

Total number of active stations:

Maximum number of stations:

Number of fax connections:

Number of computer connections:

T1 compatible:

Music on hold:

Paging:

Computer integration:

Patch panel:

Equipment - Speakerphones:

Equipment - LCD display:

Equipment - Headsets:

Auto-attendent voice mail:

If yes, how many mailboxes:

How many hours storage: