Questionnaire

First Name: Last Name: Company: Title: Address: City: State: Zip Code: Phone: Email: Please enter valid email address. Please tell us what you are interested in obtaining information about? If you do not see the Type or Brand you are looking for listed in any of the Option boxes below, please choose "Other" and indicate below in the Comments box. Telephone Systems / Phones: Type: None ATT_Lucent Comdial EnGenius Inter-Tel Isoetec NEC Nitsuko (TIE) Northern Telecom Panasonic Samsung Seimens Southwestern Bell Toshiba Other No. of Phones: No. of Extensions Voice, Network & Data Cabling: Type: None 4pr/24ga Plenum cable 25pr/50pr/100pr Riser 2pr/24ga Drop wire 6pr/24ga OSP cable Category 5, 5e & 6 cable Direct buried cable Fiber/Copper Aircore Other No. of Network Connections: No. of Modems: Voice Mail Systems Type: None Fax on Demand Meridian Nortel Partner Telekol Other No. of Voice Mailboxes Call Accounting Systems: Paging Sound Systems: Type: None Total Recall Other Type: None Bogen Valcom Other Message-On-Hold Type: None NelTech Premier Other No. of Minutes Voice Type: None Female Voice Male Voice Combination Other Maintenance Contracts Are you interested in more information about our Maintenance Contracts? Yes     No  Please tell us if there is any other information you would like, or any questions that you may have. Remember, if you chose "Other" in any of the option boxes, please indicate below what you are looking for: One last question:  Do you prefer to be contacted by  Phone   or   Email Please be sure you have filled in all of the required information before submitting the form!