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    Date Please use tab to change fields. Enter will submit form!
    Sales / Contact
    Phone #   Fax #
    E-Mail Address
   
    Dealer Name
    Address
    Address
    City     State 
    Zip + 4
    Customer Name
    Location
    Address
    Address
    City State
    Grades: 1-6 7-9 10-12 ?
 
    INFORMATION:
 
    Do you have an existing paging system? Yes No
 
    What type of Paging system?
       
  Make    Bogen    Dukane
  Model Simplex Valcom
  Software Release Other     
 
    How many Zones?
    Does the system have a Paging Port? Yes No
 
    Do they have Background Music? Yes No
 
    What type of Phone System?
   
    Vendor Telephone Number
 
 
    Scheduled Installation Date?  
 
    New Construction? Yes No
 
    Describe the application (E-mail a diagram if necessary to roy@uspnet.com).
    
    Describe what you and your customer ideally want accomplished.
    
    Do you have any ideas on how you want to solve this problem?
    
 
      
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