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
AL
AK
AR
AZ
CA
CO
CT
DC
DE
DL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
ON
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
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
No
Yes
I Dont Know
- If Yes, On How Many Lines
- Do You Have T-1 Local service
No
Yes
I Dont Know
- If Yes, How Many T-1s
- Do You Have Integrated T-1 service
No
Yes
I Dont Know
- 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
No
Yes
I Dont Know
- If Yes, On How Many Lines
- Do You Have T-1 LD service
No
Yes
I Dont Know
- 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
No
Yes
I Dont Know
- If Yes, How Much Bandwidth
Kb
- Do You Have Cable Modem
No
Yes
I Dont Know
- If Yes, How Much Bandwidth
Kb
- Do You Have A T-1 To The Internet
No
Yes
I Dont Know
- 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