* Name  

Company name 

* Address  

* City  

* State   * Zip  

* Telephone  
(i.e (xxx) xxx-xxxx or xxx-xxx-xxxx ext. x)

Fax  
(i.e (xxx) xxx-xxxx or xxx-xxx-xxxx ext. x)

* E-mail   

* Is this a new company?
 Yes   No

If not a new company:

* Is the company moving, or replacing
an existing telephone system?

Moving telephone system 

Replacing an existing telephone system 

If replacing existing telephone system:

What brand is the existing telephone system?

How many telephones do you currently have, and what models?

* How many telephones do you need?

Is there a need for different types of telephones, such as a larger model for a receptionist, a smaller model for a break room, warehouse or lobby, or a cordless telephone?

Is wiring needed for any locations of the telephones?

Is computer wiring (CAT 5) needed?

How many lines does your local telephone service provider (Bellsouth?) provide for you?

* How many of these lines are included on your telephone system?

Is your Fax line included on the telephone system?

Is there a need for Voice Mail or an Auto Attendant?

* If Voice Mail is needed:

How many mailbox users will there be?

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