Company:

Contact Person:

Address (1):
Address (2):

City:    

State: VT NH NY MA

ZIP Code:

Phone:  --

Fax:  --

E-mail: 

Do you presently have a phone system?  Yes  No

If yes please give us the make and model.
Make: 
Model: 

Is your phone system going to be in an existing location or a new location?  existing location  new location

How many lines do you need? 

How many extensions do you need? 

Can we reuse old wires?  Yes  No Not Sure

Do you need new cabling?  Yes  No Not Sure

Do you need data cabling?  Yes  No Not Sure

Do you want caller I.D.?  Yes  No Not Sure

Do you need Voice Mail?  Yes  No Not Sure

Do you want to integrate your computer(s) with your phone system?  Yes  No Not Sure