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WIRELESS SYSTEMS
Please fill in as much information as you can below to receive a free quote
Point-to-Point / Point-Multipoint
Customer Information
Customer Business Name
*
:
Primary Contact Name
*
:
Primary Contact Number
*
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Primary Contact Email
*
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Alternate Contact (optional):
Alternate Contact Number (optional):
Alternate Contact Email (optional):
Link Information
Business Name
*
:
Link Overview
*
:
Requested Technology or Vendor (if known):
Point-to-Point Connection Speed:
Minumum
*
Mbps
Gbps
/
Desired
Mbps
Gbps
Are you inquiring about a new install or a replacement to existing equipment?
*
Please select one
New Equipment
Replacing Old Equipment
Main Location
Building Name:
Address
*
:
Parking Arrangements:
Contact Name
*
:
Contact Number:
GPS Coordinates (if known):
Building Height
*
:
Security Concerns (IE: areas we can't access):
Connection to Network
*
:
Please select one
Fiber Optic
1 Gbps Ethernet
100 Mbps Ethernet
Unknown
Other Notes:
Remote Location 1
Building Name:
Address
*
:
Parking Arrangements:
Contact Name
*
:
Contact Number:
GPS Coordinates (if known):
Building Height
*
:
Security Concerns (IE: areas we can't access):
Connection to Network
*
:
Please select one
Fiber Optic
1 Gbps Ethernet
100 Mbps Ethernet
Unknown
Other Notes:
Remote Location 2
Building Name:
Address
*
:
Parking Arrangements:
Contact Name
*
:
Contact Number:
GPS Coordinates (if known):
Building Height
*
:
Security Concerns (IE: areas we can't access):
Connection to Network
*
:
Please select one
Fiber Optic
1 Gbps Ethernet
100 Mbps Ethernet
Unknown
Other Notes:
Remote Location 3
Building Name:
Address
*
:
Parking Arrangements:
Contact Name
*
:
Contact Number:
GPS Coordinates (if known):
Building Height
*
:
Security Concerns (IE: areas we can't access):
Connection to Network
*
:
Please select one
Fiber Optic
1 Gbps Ethernet
100 Mbps Ethernet
Unknown
Other Notes:
Remote Location 4
Building Name:
Address
*
:
Parking Arrangements:
Contact Name
*
:
Contact Number:
GPS Coordinates (if known):
Building Height
*
:
Security Concerns (IE: areas we can't access):
Connection to Network
*
:
Please select one
Fiber Optic
1 Gbps Ethernet
100 Mbps Ethernet
Unknown
Other Notes: