Title*

    Mr.Ms.

    Name *

    Surname *

    Company Name

    Position Held *

    E-mail Address *

    Direct Number

    Mobile

    Company Address

    Country

    SITE DETAILS

    Site Address

    Building

    Room

    Cabinet Space


    PROVISIONING INFORMATION
    Physical

    Switch Name

    Trunk Name

    Switch Type

    No. of E1 ccts

    Circuit Presentation

    Impedence

    Echo Cancellation

    Signalling

    Signalling User Type

    Network Indicator NI

    SPC

    Circuit Presentation

    STP PC

    Signalling Mode

    Number of Signalling Links

    SLC

    TS 16 used for voice?

    Signalling Time Slot

    Circuit Hunting

    COT Check Required?

    Control Dual Seizure Control

    CRC4

    Transmission Medium

    Dial Plan

    International

    National

    Notes

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    INFORMATION CENTER

    Interconnect Form TDM

    Interconnect Form VoIP

    Customer/Supplier Form

    Customer Credit Application Form