3Com NBX Communications System Planning Guide
5
Contact Information
Customer
Client Name:
Contact Name:
Installation Address:
System Administrator:
Telephone Number:
Fax Number:
E-mail Address:
Dealer
Dealer Name:
Contact Name:
Address:
Telephone Number:
Fax Number:
E-mail Address:
Carrier Information
Local Service
Carrier:
Contact Name:
Telephone Number:
Fax Number:
Billing Number:
Any additional lines being added? Yes
No
Types of lines being added: Loop start
T1/PRI
E1/PRI
BRI-S/T
New PSTN connection installation date:
Long-distance Service
Carrier:
Contact Name:
Telephone Number:
Fax Number:
Account Number:
