This form is for Support only. [ Other Forms ]

Company Information

Company Name:
Street Address:
City:	State: Zip:
Email Address :
Service Area:	Choose Your City: Clover Fort Mill Heath Springs Lake Wylie Lancaster Rock Hill York
10-Digit Phone #:

Are you an established Comporium customer?	Yes No
...if Yes, please enter your Comporium Account Number, if known:
Is your business a new business or are you moving from another location?	New Business Re-Locating
If your business is moving, please enter your future address below (if known):

Street Address:
City:	State: Zip:

Business Telephone Services

1.	Are there multiple buildings at the same address requiring connectivity?	Yes No
2.	How many stories of the building will you occupy?
3.	Will your business have more than one location in the area?	Yes No
4.	Does your computer system require Cat 5 wiring?	Yes No
5.	How many incoming calls per day do you expect your business to receive?
6.	How many outgoing calls per day do your expect your business to make?
7.	Will you be using fax machines?	Yes No
8.	Will you need voicemail and/or auto attendant?	Yes No
9.	Will an answering service be used for before-hours and after-hours business calls and emergency situations?	Yes No
10.	Will you need any private lines or will all lines be shared?	Private Shared
11.	How many telephones will your business require?
12.	Will your system use 'Music on Hold' ?	Yes No
13.	Does your business have a department with large volumes of incoming calls that need to be evenly distributed between representatives?	Yes No
14.	Do you wish to establish your main number in service in order to receive a directory listing? (Yellow Pages, etc.)	Yes No
15.	Under which heading should your business be listed in the yellow pages? ( You can use an existing directory to compare headings, etc.)
16.	Do you wish to have an ad in the Yellow Pages?	Yes No
17.	Will your business require any payphones?	Yes No
18.	Would you prefer to consolidate all of your services onto one bill?	Yes No

Long Distance Services

19.	Do your customers require an 800 services?	Yes No
20.	Are the majority of your calls out-of-state?	Yes No
21.	Will authorization codes for long distance calling be needed?	Yes No
22.	Will any of your employees need calling cards?	Yes No

Wireless Services

23.	Will any employee require wireless service? ( Pagers, Mobile Phones, etc)	Yes No

Cable TV Services

24.	Does your company plan to place any advertisements on cable TV or provide it as a viewing service to employees, patrons, etc.?	Yes No

Internet Services

25.	Will your company require Internet access?	Yes No

Security Services

26.	Are you interested in security, fire, access control, closed circuit TV, or ID badges?	Yes No

Construction Services

27.	Are any of the trees on your property in need of trimming, removal, or grounding?	Yes No
29.	Do you have debris that needs to be removed from your construction site?	Yes No

Publishing & Advertising Services

30.	Does your company plan to design any stationary, forms, invoices, bill inserts, or advertising for your day-to-day operations?	Yes No
31.	Does your company need a yellow page advertisement designed to make your business name and number available to your customers?	Yes No

    

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