BUSINESS PHONE SERVICE

Filling out the following form will grant you a free Business Phone Service quote from CBS Telecom.

1. What type of business phone plan are you looking for?   Pay-as-you-go metered local and long distance service Unlimited local with metered long distance Unlimited local and long distance Unlimited local and long distance inside the US with discounted international rates

2. When would you like to have this phone service start?   Right away Within a month In two or three months Between four and six months Other:

3. How many lines will you need?   1-3 4-6 7-10 10 or more (please specify):

4. Who is your current business telephone provider?   AT&T Qwest (US West) SBC/Ameritech Sprint Talk America Verizon Other:

5. What are your current monthly business phone charges?   $30 - 100 per month $100 - 200 per month $200 - 400 per month $400 - 2000 per month $2,000+ per month Don't have service at the moment

6. If interested in additional services, check all that apply.   Toll free numbers Conference calling Voice over Internet (VoIP) Other (please specify):

7. Please detail additional requirements you may have.

8. Please enter your business information. *Required *Contact Name: Contact Title: Business Name: Number of Employees: Business Address: Business City: Business State: *Business ZIP: *Phone Number: *Email Address: