Global Telecommunications Inc.
Request for Local, Long Distance & Internet Service Quote.
Your First Name Last Name
Organization
Address
City State Zip
Work Phone
Fax
E-Mail
Your Web Site
When is the best time to call 8:30 - 10:30 10:30 - 12:30 12:30 - 2:30 2:30 - 4:30
Current local service provider Bell South Other
Current Long distance provider
Current Internet speed Dial-up DSL / ADSL 256 K 512 K 768 K T1 Not Sure
Current Approximate Long Distance Bill $
Number Phone Lines on system?
Additional comments or special needs:
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