Name*
Email address*
Phone number*
Name of company*
Company address*
How would your best describe your current phone system needs?		We are looking to replace our current system We are interested in options to expanding our current system
How many simultaneous or “lines” do you wish your phone system to handle?		4+ but unsure of exact need 4-5 6-9 10-14 15-19 20-29 30-49 50-69 70-99 100-199 200+
How many individual users or extensions will you need your system to accommodate?		2-5 6-9 10-14 15-19 20-29 30-49 50-69 70-99 100-199 200+
Where (5 digit zip code) will this be installed?
Are you interested in receiving information on our maintenance/service contracts?		Yes, we are interested in receiving information on maintenance/service contracts No, we are not interested in receiving information on maintenance/service contracts Unsure, please advise me of your maintenance service contracts benefits and costs.
Are you interested in receiving information on leasing/financing options?		Yes, we are interested in leasing/financing options. No, we are not interested in leasing/financing options. Unsure, please advise me of all available leasing/financing options.
What is your estimated budget for this purchase?		Unsure $2,000-$4,999 $5,000-$9,999 $10,000-$19,000 $20,000-$49,000 $50,000+
When do you intend to have this phone system or cabling installed?		Within a few months Within 3-6 months In more than 6 months
What features do you want with your phone system?		Voicemail Automated attendant (automatic answering and call routing) Call center (advanced call routing and tracking) Call accounting (detailed tracking and reporting) Unified messaging Audio conferencing (for more than three parties) Computer telephone integration (CTI-allows advanced call handling) Music on hold Receptionist console Door phones Public announcement (overhead paging) Voip (Voice over IP)
Please describe any additional requirements you may have (ie: note if you need a T1 line, or if you are expanding your system please indicate the current type of system and number of lines.)