PARTNER® Advanced Communications System
Form A—Customer Information
CUSTOMER BILLING NAME: | BILLING PHONE NUMBER: |
CUSTOMER CONTACT: | CONTACT PHONE NUMBER: |
PERSON TO BE TRAINED: | TRAINEE PHONE NUMBER: |
SALES PERSON/ACCT EXEC: | SALES/AE PHONE NUMBER: |
GENERAL CONTRACTOR: | CONTRACTOR PHONE NUMBER: |
(only required if new construction) |
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INSTALLATION ADDRESS: |
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INSTALLATION DUE DATE: |
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NOTES TO INSTALLER: |
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FEATURES OF INTEREST: |
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(list in order of priority) |
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SERVICE VERIFICATION: | Provide the name of the telephone service representative who verified your service and the date the |
| service was verified. This is not required for all installations. See next page for details. |
VERIFIER NAME: | DATE VERIFIED: |
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INSTALLER NAME: | DATE OF INSTALLATION: |
Form
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