Name: *

Company Name: *

Email: *

Address:

City:

State:

Zip:

Telephone Number: *

Comments:

1. What condition of Telephone Equipment are you looking for?

2. Are you interested in a specific Avaya System?

3. How many telephone lines will you have (i.e. how many different telephone numbers will you be using)?

4. How many stations / phone extensions will you be using?

5. Will you require voice mail?

6. Will you require loud speaker paging (e.g. warehouse, etc.)?

7. Will you require a T1 connection?

8. Will you require phone system installation?