PA001 Form
PA001 Administration Request Form
Switch Information
Complete one group of fields for each PBX. If you have more than 5 PBXs, ph this page before you begin.
PBX # _______ |
|
Switch Name: ______________________________ | LDN: (_____) |
Switch Release: ____________________________ | Alarm ID: ___________ |
Customer Name: ____________________________ | Modem Type: |
Customer Location: _________________________ | Data Module (9 |
Dial String: ________________________________ | Analog (1200) |
PBX # _______ |
|
Switch Name: ______________________________ | LDN: (_____) |
Switch Release: ____________________________ | Alarm ID: ___________ |
Customer Name: ____________________________ | Modem Type: |
Customer Location: _________________________ | Data Module (9 |
Dial String: ________________________________ | Analog (1200) |
PBX # _______ |
|
Switch Name: ______________________________ | LDN: (_____) |
Switch Release: ____________________________ | Alarm ID: ___________ |
Customer Name: ____________________________ | Modem Type: |
Customer Location: _________________________ | Data Module (9 |
Dial String: ________________________________ | Analog (1200) |
PBX # _______ |
|
Switch Name: ______________________________ | LDN: (_____) |
Switch Release: ____________________________ | Alarm ID: ___________ |
Customer Name: ____________________________ | Modem Type: |
Customer Location: _________________________ | Data Module (9 |
Dial String: ________________________________ | Analog (1200) |
PBX # _______ |
|
Switch Name: ______________________________ | LDN: (_____) |
Switch Release: ____________________________ | Alarm ID: ___________ |
Customer Name: ____________________________ | Modem Type: |
Customer Location: _________________________ | Data Module (9 |
Dial String: | GAnalog (1200) |
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