• Company Name: *
• Your Name: *

• Phone Number: *
• Order Confirmation Email Address:
• Purchase Order or Service Request Number:

• Shipping Address: (if hard copies specified)
• Billing Name and Address:

• We can keep you and your company informed about the status of this order, and any sales or MAC work opportunities uncovered during the production of the service(s), by providing one or more email addresses below. Separate multiple addresses with commas (,). (Do not enter the customer's email here - see below)

• Business Partner Email(s):

Customer Information

• Customer Name: *
• Customer Account Number:

• If you want the customer to be notified about the status of this order during production, enter their email address(es) below. Separate multiple addresses with commas (,).

• Customer Email:

Communication Server Information

• Communication Server Model: *Choose from listAvaya Aura / Communication ManagerHeritage Nortel CS1000 / MeridianHeritage Nortel BCM
• Remote Access Connectivity:Modem DialupRAS / PPP DialupVPNSAL (Secure Access Link)Other

Order Details

• Number of Hard Copies:
  Note: An additional fee will be charged for each hard copy ordered. 012345

Do you want online access to the data and reports via the internet? Yes No

• Special Instructions / Shipping Information:
  For overnight delivery, please provide your FedEx or UPS number below.
  Do not include sensitive information (e.g. passwords) in this field,
  since the contents will be sent to the Order Confirmation Email Address specified above.
  
  To order any of the following services, please click on the appropriate service, then complete any remaining details.

• SourceBook

  Number of iterations:Just OneTwo (Semi-Annually)Four (Quarterly)Twelve (Monthly)
  SourceBook is for a(n):
  Existing Customer
  Prospective Customer

• Site Survey

  Number of iterations:Just OneTwo (Semi-Annually)Four (Quarterly)Twelve (Monthly)

• Backup

  Number of iterations:Just OneTwo (Semi-Annually)Four (Quarterly)Twelve (Monthly)

• GuardianService®

  Number of iterations:Four (Quarterly)Twelve (Monthly)

• Security Audit Number of iterations:Just OneTwo (Semi-Annually)Four (Quarterly)Twelve (Monthly)

  Nortel Level 2 Call Server Password: * (required for all Nortel Security Audits) Does this Call Server have an associated Meridian Mail or CallPilot system that you would like analyzed as part of the Security Audit? Yes No Please fill in the additional connectivity information below for the Meridian Mail or CallPilot: Voice Mail Modem/SEB Number: *   If this is a secure modem (e.g. SEB), please enter the modem's login credentials below: Secure Modem/SEB Login ID: Secure Modem/SEB Password: Voice Mail Login ID: Voice Mail Password: *

• Traffic Study Number of iterations:Just OneTwo (Semi-Annually)Four (Quarterly)Twelve (Monthly) Include IP Bandwidth Aggregation Tool

  Start Date: * Number of Days: * Including:Weekdays OnlyWeekdays + SaturdayWeekdays + SundayAll Week

  Start Hour:12:00 AM1:00 AM2:00 AM3:00 AM4:00 AM5:00 AM6:00 AM7:00 AM8:00 AM9:00 AM10:00 AM11:00 AM12:00 PMHours per Day:123456789101112131415161718192021222324

Notes
1. Traffic Studies: Since we will be dialing into the Communication Server every hour, please do not schedule any major moves or changes during the time period set aside for the Traffic Study.
2. Expedites: Services are shipped within 5 business days of completion. Orders requiring an expedite will incur an additional $25 charge. Please note desired expedites in the Special Instructions field.