Leased-Line Quote Request
Contact Information
This section provides contact information so we can get back in touch with you about your requirements.
Name:
Title:
Organization:
Email Address:
Postal Address:
City:
State:
Zip:
Phone:
Fax:
Service Location Description
This section describes the service location for installation of leased-line connectivity and is used to determine local carrier charges for the physical line installation and maintenance.
Postal Address:
City:
State:
Zip:
Area Code-Prefix:
Local Network Description
This section describes the computer or network you wish to connect to the Internet and helps us determine routing and IP address space requirements.
Type of Network:
LAN - Single physical location and domain space
WAN - Multiple physical locations or domain spaces
Network Protocol:
# of Computers/Devices:
Running TCP/IP?:
YES
NO
Planned
Internet used for:
Email
WWW
Gopher
FTP
UseNet News
Other:
Throughput required:
up to 128Kb/s average
up to 256Kb/s average
up to 384Kb/s average
up to 768Kb/s average
Select One
over 768Kb/s to 1.544Mb/s
more than 1.544Mb/s and less than 10Mb/s
over 10 Mb/s and less than 45Mb/s
don't know
Type of Service
We has three levels of service to meet your organization's needs. Please choose the level of service you require.
GOLD Service:
WE provides site router
CSU/DSU and routing management along with UseNet newsfeed.
SILVER Service:
Your organization provides site router and CSU/DSU
We manages routing.
BRONZE Service:
You provide site router and CSU/DSU along with routing management.
Submit
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"RESET"
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