Company Name: ______________________________                  Date:___________


Internet connection speed:

  • Upload_________mbps
  • Down load________mbps
  • DSL / Cable / T1 / Other

Internet Provider: ___________________

Current phone system make and model __________________

Current voice mail / AA system ______________

Current Extension Numbers? ________________

How many telephone handsets in use___________________

How many telephone lines in use _____________

Telephone line provider _________________

Is telephone line service currently in contract?   YES / NO

  • Contract Start Date: __________
  • Contract End Date: __________
  • Early Term Penalty (if applicable) ___________

Do you operate with other remote office(s)?   YES / NO

  • Can you extension dial them?   YES / NO

Do you have any remote Home-Office workers?   YES / NO

Can you extension dial them?  YES / NO

Do you need extension dial capabilities for remote workers?  YES / NO

Local Network details:

  • Firewall make/model: ____________________________
  • Router make/model: ______________________________
  • Do you use a Proxy Server?   YES / NO
  • Do you use Switches or Hubs?     Switch / HUB
  • Are the switches POE (power over ethernet)?    YES / NO

Cabling infrastructure

  • How many Data wall outlets at each desk?  YES / NO
  • Is there an outlet at all designated phone locations?  YES / NO
  • Is there AC power at each location?  YES / NO

How much Long Distance do you average per month? _____Minutes   $_____

How many Telephone numbers (DID's) are needed? ________

How many devices require analog phone lines?

  • Fax: ______
  • Credit Card: ________
  • Modems: ________