ISP Ltd. - ISP Purchase Enquiry / Contact Information Form


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Sales Enquiries

Overview

Enquiry form — to request contact

Engineering proposal — description and fees

Contact numbers and addresses

ISP Purchase Enquiry

Fields in this colour are required. (Privacy policy)

Contact Information

Name
Company
Mailing Address
Address line 2
City
Province/State		Zip/Postal Code
Country
Telephone
FAX
E-Mail Address
Hours to call	(please give time zone or GMT offset)

Business Details

Purchase time-frame	Immediate In 1-2 months In 2-3 months In 3-6 months More than 6 months or indefinite
When is it your goal to be operational?

How many years have you been in business?

What is your business web site address?

Comments
Briefly tell us more about your ISP plans so we may help you achieve your goals. All information is held in strict confidence.

Technical Information (optional)

Which model are you interested in purchasing?

Fill in as much information as you can. Check as many checkboxes as needed.

	Service Type	Number of Subscribers		Comments
	Service Type	1 year	2 years	Comments
	Will you use a regional or national POP service? Include subscriber estimates (56k, ISDN, etc.) for POPs in the spaces below.			POP is Point of Presence, referring to the availability of modems at a remote location.

	128k ISDN			Include 64k ISDN customers in the 56k line (below)

	56k modem or 64k ISDN

Wireless megabit access Wireless 256k to 512k access Wireless narrowband < 256k access

	Domain hosting

How do you plan to connect to the Internet backbone?

Privacy & Confidentiality

The information provided here will only be used by ISP Ltd. employees and agents who will be bound by this agreement: All parties agree from this day (16-May-2008) forward to treat everything shared between us as confidential information, except for information that is available to the public on the Internet.

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