VOIP SERVICE

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

1. Do you currently have broadband Internet access?   Yes No

2. When are you looking to have broadband 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 for your VoIP service?   1 2 3 4 5+ (specify)

4. Do you need to connect multiple offices with this VoIP service?   Yes No Unsure

5. Will you be using your VoIP service to make international calls?   Yes No Unsure

6. Do you currently have a phone system that has VoIP capabilities?   Yes No Unsure

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: