Tell us your name and how to contact you:

Name:

Title:

Agency:

Email:

Address:

City:

State: Zip:

Telephone:

Fax:

Fill In As Much of This Information As Possible:

Are you planning to purchase new communication consoles in the near future?
     Yes No          Integrated telephone? Yes No

How many positions?         How many E911 trunk lines?

How many channels?         How many admin lines?

Do you have or will you have CAD? Yes No

How many CRT screens for your CAD?

What size will they be?

Are you presently budgeted? Yes No

Will you give us the opportunity to compete for your business?
     Yes No

List below any ancillary equipment that must be integrated into  the work station and tell us if it is panel mounted (19 inch EIA):

How do we get on your bidders list?