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Contact Info
Company Name
Name of Contact Person
Contact Phone #	() - ext
Contact Fax #	() -
Email Address

Location Info
How Many Different Physical Locations Does Your Company Operate From
{if more than 1, please submit a different Quote Questionnaire for each location}

Physical Address
Physical Address 2
City
State
Zip Code
Main Phone # At This Location	() -
Fax # At This Location	() -

Local Service Info
Which Company (s) Do You Currently Use For Local Phone Service
- Do You Have Switched POTS service
- If Yes, On How Many Lines
- Do You Have T-1 Local service
- If Yes, How Many T-1s
- Do You Have Integrated T-1 service
- If Yes, How Many Lines Are Allocated For Local Service
What Are Your Appx Current Monthly Rates For All Local Services (Before Taxes)

Long Distance Service Info
Which Company (s) Do You Currently Use For Long Distance Phone Service?
- Do You Have Switched LD service
- If Yes, On How Many Lines
- Do You Have T-1 LD service
- If Yes, How Many T-1s
Local Toll Minutes Used - Monthly
In-State Minutes Used - Monthly
Out-Of-State (48 States) Minutes Used - Monthly
International Minutes Used - Monthly
- If Any, Which Countries Are Called
In-State Toll Free Minutes Used - Monthly
Out-Of-State (48 States) Toll Free Minutes Used - Monthly
What Are Your Current Monthly Rates For All LD Services (Before Taxes)

Internet Service Info
Which Company (s) Do You Currently Use For Internet Service?
- Do You Have DSL
- If Yes, How Much Bandwidth	Kb
- Do You Have Cable Modem
- If Yes, How Much Bandwidth	Kb
- Do You Have A T-1 To The Internet
- If Yes, How Much Bandwidth	Kb
What Are Your Current Monthly Rates For All Internet Services (Before Taxes)

Additional Info
Please Let Us Know Any Additional Info About Your Communications Services Needs