Phone Form

Contact Information
*Name

*Email Address

Phone

Company

City

State

ZIP

Country

Telephone Server
   # of Employees
   # Of Phone trunk Lines inbound to Company (Normal 60% of total # employees)

Type of PHONE (CO) LINES Wanted
   Digital T1 -
   POTS line (Analog lines from Bell) provided by Bell companies

Total Remote Workers
Number here:

Discount Long Distance Gateways
   YES /NO
   VOIP Trunks with Direct Inward Dial Numbers from other
countries IE UK or USA # for inbound calls to Africa or Iraq
   YES /NO

Type of PHONE (CO) LINES Wanted
   Altigen IP 705 PHONE
   Altigen IP 710 PHONE
   Astra SIP Phone -Model 53i
   Astra SIP Phone -Model 57i CT
   Plantronics CT 12 Wireless Headset
   Long Range Wireless Phone - Up to 1 Mile from PBX SYSTEM
   SOFTPHONE - IPTALK
   IS Power Over Ethernet Required

EFAX and FAX OVER IP Linked to Phone System (Check all that apply)
   EFAX -2 Lines
   EFAX - 4 Lines
   EFAX - T1 or E1 - 23 or 30 Digital Lines

SMS Messagging Gateway (Check all that apply)
   Send text messages to Cell Phones from PC or Laptop

CELL GATEWAY Linked to Phone System-provides low cost calling to cell phones from PBX
Number here:

SUPPORT PLANS (Check all that apply)
   Installation Charge Only - Self Support
   IPX Local Onsite Support for 12 Months
   IPX - Altigen Hardware Assurance Program- Covers all Hardware for 12 Months / Full replacment

LEASE OPTIONS (Check all that apply)
   12 Months $1 Buyback
   24 Months $1 Buyback
   36 Months $1 Buyback
   48 Months $1 Buyback
   60 Months $1 Buyback

Microsoft Products (Check all that apply)
   Microsoft Office Communications Server Integration ( OCS) YES /NO
   Microsoft Exchange EMAIL YES/NO
   Microsoft SQL Database YES / NO
   Microsoft Windows Server 2008 YES / NO
   Other

NETWORK SERVICES (Check all that apply)
   FIREWALL
   ROUTER
   VPN
   ETHERNET SWITCH STANDARD
   ETHERNET SWITCH WITH POWER OVER ETHERNET (POE)
   UPS
   PREMISE CABLING FOR PHONES AND DESKTOP PC'S
   WIRELESS ACCESS POINTS
   IP SECURITY CAMERAS
   ANTIVIRUS
   CONTENT FILTERING, INTRUSION DETECTION, INTERNET USE REPORTS
   Other