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Prospect Technical Survey

Company Name*

Address 1*

Address 2

City*

ZIP Code*

Phone*

Contact Name*

Contact Email*

Phone System Manufacturer

Phone System Model

Phone System MOH Enabled*

Phone System Audio*

Network Appliance Vendor

Network Appliance Model

DHCP Enabled*

Network Device Access*

Network switch manuf*

Network switch model*

Is your switch managed?*

Network Switch Speed*

Network Address Scheme*

Network Internet access*

IP Address

Default Gateway

Subnet Mask

DNS 1

DNS 2

Are your phone system and internet connection at the same location?*

Network Cable Length*