PARTNER® Advanced Communications System
1
Form A—Customer Information
Form A—Customer Information 0
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)
INSTALLATION ADDRESS:
INSTALLATION DUE DATE:
NOTES TO INSTALLER:
FEATURES OF INTEREST:
(list in order of priority)
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:
INSTALLER NAME:DATE OF INSTALLATION: