Do you want to get the best price from your telecommunication provider? You've come to the right place! COMPANY INFORMATION LOCATION INFORMATION QUOTE REQUIREMENTS ADDITIONAL INFORMATION COMPANY INFORMATION Include LLC, Inc, etc. Company Name Company Phone Number Previous Next ADDRESS Enter the address where the services will be installed. Street City State Zip PRIMARY CONTACT INFORMATION This person is the "Main Point of Contact" for this project. Primary Contact Name Primary Contact Title/Role Primary Contact Email Primary Contact Phone Number Does this contact have signing authority? YES - I am able to sign agreementsNO - Some else approves agreements Previous Next TECHNICAL CONTACT (optional) Provide if a technical contact for this project is different than the primary contact listed above. Technical Contact Name Technical Contact Email Technical Contact Phone Number PROJECT/SITE INFORMATION This is the information needed for the location where services will be installed. Billing Address City State What type of location is this? (Select One) BusinessResidentialHome OfficeMedical OfficeManufacturing/Warehouse BuildingExecutive House/Complex Does this location have existing internet? YES - Replacing Existing Internet ServiceNO - Previous company did have internetNO - No existing Internet Does your organization own the building? YES - We own the buildingNO - We would need to ask the building owner/manager for construction permissionUnknown QUOTE INFORMATION Please be descriptive in your business telecom needs and goal INTERNET REQUIREMENTS Top Priorities: Upgrading to Fiber OpticsFaster internet speedLower internet speedReliability and UptimeLower Monthly Rates Preferred Circuit Type Cable/Coaxial (standard/average uptime/variable speeds/cost concious)Fiber Optic (fastest/most reliable/consistent speeds/more expensive)Cellular (4G/5G)Satellite (rural areas)Any DOWNLOAD - Minimum Internet Speed Cheapest Available10 Mbps50 Mbps200-250 Mbps500 MbpsGreater than 1 GbpsFastest Available25 Mbps100 Mbps300-350 Mbps1 GbpsUnknown UPLOAD - Minimum Internet Speed Cheapest Available10 Mbps50 Mbps200-250 Mbps500 MbpsGreater than 1 GbpsFastest Available25 Mbps100 Mbps300-350 Mbps1 GbpsUnknown How many Static IPs do you require for this location? 1 Static IP5 Static IPs13 Static IPs29 Static IPsUnknown Previous Next ADDITIONAL NOTES Do you require a Business TV Package for this location? YES - please gather Business TV quotesNO - we do not require Business TV quotes Who is your current technology/network provider? Internal IT TeamExternal IT TeamTechConnectPlease send an IT support quoteUnknown Are you currently under contract with your current technology/network provider? YESNO If yes, when does your contract end? Please upload your most recent provider bill (you may black out the company details & account information) Additional Notes: Previous Next
