CARRIER CONTRACTS REQUIRED INFORMATION

Company legal Name:

Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Main VOICE
Main FAX
Tax ID
Type of Business
Current Carrier For Local Lines
Current Carrier For Internet
Number Of Local Lines (including fax)
Number of People Accessing Internet:
Service Desired (Local Dial Tone, Internet Only, Both)
Approximate Number of Long Distance Minutes Per Month

Contact (name, phone, fax, email):

Name  
Work Phone  
FAX
E-mail  

Do you need Email Hosting ?

Do you need Website Hosting ?

Contract Term 1-3 years.?

Comments Or Questions... ?

 
 
   

 

 
 

 

 

 

 

 

 

 

 

 
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  Connectivity Services, Inc. | 1140 Broadway, 6th Floor, New York, NY 10001 | Tel. (212) 689-8122