Lucent Technologies 6.1 manual Customer Information Account Team Information

REQUEST FOR SALES AND DESIGN SUPPORT CENTER SERVICES (E-1154)

Check each service being requested and describe in Scope of Work below:

Technical Assurance

Installation Specifications

Floorplan

Other

(Check products)

DEFINITY

Sys Mgmt / CAS

CONVERSANT

AUDIX / Intuity

UPS / DC Power

CMS

MERLIN LEGEND Networking

GENERAL INFORMATION: (Complete all fields):

DESIGN CENTER FAX: 303-850-8932

CUSTOMER INFORMATION

ACCOUNT TEAM INFORMATION

Name:

Name:

Title:

Address

Address

City:

ST:

Zip:

City:

ST:

Zip:

LDN:

Tel.No.:

FAX:

IL:

e-mail id:

(if multiple ILs are involved, list others below in Scope of Work)

Cust. Contact Name:

MBO Code to be Charged:

Cust. Contact Tel. No.:

(if multiple MBO Codes are to be charged, list below in Scope of Work)

Mark if Customer Permission for Switch Access has been

granted.

MBO Project No.:

Alternate Contact:

Title:

Project Manager:

Tel. No.:

Tel. No.:

PRE CONTRACT OR

POST CONTRACT.

ATTOMS/DOSS Ref No’s

Please list model and version of ALL Products (Switches and Adjuncts), both existing and/or proposed. Also specify the number of nodes in an existing and/or proposed network plus hardware connectivity (digital/analog) and attach diagram.

New Add Upgrade RFP Controlled Introduction

Scope of Work:

Requested Due Date for Technical Assurance:			Written Response	Verbal Response
Requested Due Date for Floorplans:		for Specifications, other Deliverables:
MOJ Date:	Cutover Date: