INTERNET ACCESS - DSL

Filling out the following form will grant you a free Internet Access (DSL) quote from CBS Telecom.

1. How do you intend to use your business Internet?   Internet access Web hosting Voice Video conferencing VPN or Intranet Point-to-Point Other (please specify):

2. Do you currently have business Internet access?   No Yes Yes - contractually committed

3. How many people will be using this connection at the same time?   1 - 10 11 - 50 51 - 200 201 - 500 500+

4. When do you need to be up and running?   Now Within 1 month Within 2 months Beyond 2 months

5. Are your office locations wired for Internet access?   Yes No Unsure

6. Do you need multiple data lines?   Yes, multiple lines No, just one line Unsure, please advise

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: