Title*

    Mr.Ms.

    Name *

    Surname *

    Company Name

    Position Held *

    E-mail Address *

    Direct Number

    Mobile

    Company Address

    Country

    Brand

    Model

    Type (Gatekeeper, Gateway,
    Softswitch, etc.)

    Protocol

    IP Address (Signalling)

    IP Address Media

    Codec Preference

    Notes

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