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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
    INFORMATION:
 
    Do you have Microsoft Visio? Yes No
 
    Telephone System
  Make   
  Model
  Software Release
 
    Voice Mail System
  Make   
  Model    
  Software Release
 
    Existing Ultimate Call Accounting?     Yes No
    Existing Communicator?                     Yes No
 
    Will you be installing and servicing the above equipment?   Yes No
 
    Does your E-mail Server have a size limitation on attachments? Yes No
 
    Scheduled Installation Date?  
 
    TECHNICAL TRAINING:
 
    Has a Technician taken the Toshiba computer based training on Ultimate  
    Communicator? Yes No
 
    Existing Customer ? Yes No
   
    Proposed or existing equipment list? Proposed Existing
   
    Number of Phones?   Number of Lines? 
               
    CID   Yes No   ANI Yes No   DID Yes No
 
    DNIS Yes No   PRI Yes No   ACD Yes No
 
    If you checked 'Yes' for ACD please indicate the number of ACD Groups and
    number of Agents for each group.
    
    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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