What services do you need?	Cabling Networking Both
How many devices need to be cabled or networked?	2-10 11-20 21-40 More than 40
Is this a New Site, Existing Site or Home Office?	New Site Existing Site Home Office
Do you need any High Speed Internet Access?*	Yes, Please let me know what is available No, not right now Already have it
What kind of cabling do you need?	CAT5 Fiber Optic Telephones Combination of cabling
How quickly do you need this done?	Now 30-60 days 60-90 days More than 90 days
Name:
Company:
Title:
Address:
Address (continued):
City:
State:
Zip:
Telephone Number:
Fax:
Email:
Comments/Questions:
How did you hear about us?	Yahoo Excite Other If other, please explain:

* If you selected "Yes" for more information on High Speed Internet Access, please specify an accurate address and telephone number. Additionally, the phone number can not be hooked into a phone system. It must be an analog line for DSL for it to work.

 

 

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