SYSTEM QUOTE FORM

WHAT TYPE OF SYSTEM ARE YOU INTERESTED IN:

PARTNER ENDEAVOR
PARTNER ACS
MERLIN LEGEND
MERLIN MAGIX

HOW MANY TELECO LINES DO YOU CURRENTLY HAVE:

HOW MANY EXTENSIONS DO YOU CURRENTLY HAVE:

WILL YOU BE EXPANDING IN THE NEAR FUTURE:

Yes No

WOULD YOU BE INTERESTED IN VOICE MAIL:

Yes No

IF YES, HOW MANY MAILBOXES WOULD YOU NEED:

WOULD YOU BE INTERESTED IN LEASING:

Yes No

PLEASE PROVIDE THE FOLLOWING CONTACT INFORMATION:

Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
E-mail
URL

HOW WOULD YOU LIKE TO RECEIVE YOUR QUOTE FROM WIREWORKS TELECOM:

E-MAIL PHONE PERSONAL VISIT