business services

Request for Quotation: High-speed Access

This is a: new site upgrade change of provider

Customer Name:
Date of request:
Requested by:

1. Client Information

Technical Contact:
Phone:
Fax Number:
Pager:
Email:
Address1:
Address2:
City:
State:
Zip:
Size of network:
Network Operating System:
Platforms served: PC UNIX Mac Other:
Type of email currently in use:
Public access servers to be run on site: WWW FTP None Other:
Area code of your location (NPA):
Telephone exchanges of your location (NPX):
Description of exact location of termination at your location:
Contact for access to site (if different from above):

2. Service Type

Leased Line: 56kbps DDS T1 (Point-to-point)
ISDN: 64kbps 128kbps
Frame Relay: 56kpbs 128 kbps 256 kbps 512 kbps T1

3. Domain Information

Domain name if previously registered:
Domain Name Requested:
Choice 1:
Choice 2:
Choice 3:
Choice 4:
Justification explanation:

4. If this is a change of provider:

Name of old provider:
Existing IP addresses:


Business Services Home
Point-toPoint Leased Lines | Frame Relay | Full-time ISDN | Full-time SLIP/PPP


InfiNet will be pleased to help you fit these applications to your business needs. Send us an email at business@infi.net or call (757) 625-1056 or 1-800-836-3267. You can also fax us at (757) 622-7158.

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