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Cabling Concepts - Product Request Form

Company Name *
Contact Person *
Address
City
State
Zip
Title
Telephone *
Fax
Type of Business
Email *
No. of phone lines required?
(the number of lines determines the number of calls that can simultaneously occur. Plus add any fax or dial-up modem lines that you need to your total)
No. of telephones required?
(remember to include all employees plus any common areas such as conference room, lunch area, etc.)

Is there a need for the following applications: (check all that apply)

Voice Mail
Automated Attendant
Music on Hold
Direct Dial Phone Numbers
Unified Messaging

 Fax Messaging
VoIP
None
Other
What is your budget?

What is your Estimated Time Frame?

Two Weeks
One Month
Two Months
Other
What is driving your decision?
Service Issues
Expanding
Moving
Other
Do you want to purchase or lease your phone system?
Buy
Lease
 
How would you describe your company’ s expected growth rate over the next three years?
High
Moderate
Low
No Growth
Not Sure

 
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