Date
-
Month
-
Day
Year
Date
Business Name
*
Does your business have a managed IT provider? Have they been contacted?
Does your business have a Firewall? Onsite Server? Managed Switch?
Yes
No
Unknown
Please provide details, if applicable.
Does your business have VPN service? (or remote access to your computers)
Yes
No
Unknown
Please provide details, if applicable.
What type of phones does your business have? (select all that apply)
Traditional
VoIP
Hosted PBX
Phone System
Not Sure
None
Other
Please provide details, if applicable.
Does your business have a wireless router?
Yes
No
Unknown
Please provide details, if applicable.
Does your business have Wi-Fi Signal Extenders?
Yes
No
Unknown
Please provide details, if applicable. If YES, please provide the amount.
Does your business have a Point-of-Sale System or Credit Card Reader?
Yes
No
Unknown
Please provide details, if applicable. If YES, please provide the brand & the number of units you have.
Is the Point-of-Sale System managed by a provider?
Yes
No
Unknown
Please provide details, if applicable. If YES, please provide the POS Support Contact Information.
Is the Point-of-Sale System wired, wireless, or both?
Wired
Wireless
Both
Unknown
Please provide details, if applicable.
Does your business have security cameras or a security system?
Yes
No
Unknown
Please provide details, if applicable. If YES, please indicate whether they are wired/wireless & the number of units you have.
How many computers or laptops are onsite? Please provide details, if applicable.
How many wired Internet devices does your business have today? Please provide details, if applicable.
Does your business have any devices, such as Printers or POS units, with a Static IP Address?
Yes
No
Unknown
Please provide details, if applicable. If YES, DHCP settings must be adjusted to match Static IP settings.
Does your business have a Static Public IP Address?
Yes
No
Unknown
Please provide details, if applicable.
Does your business have any network printers?
Yes
No
Unknown
Please provide details, if applicable.
Would you like your business to offer free Wi-Fi to your guests/customers?
Yes
No
Not Sure
Other
If your primary Internet connection goes down today, do you have a way to keep your essential systems online?
Yes
No
Unknown
Please provide details, if applicable.
Do you have a cellular hotspot that could be used as a backup?
Yes
No
Unknown
Do you have any outdoor areas that you need to serve with Wi-Fi connectivity?
Yes
No
Unknown
Please provide details, if applicable. If YES, please indicate whether they are currently covered.
What are your business hours?
Email
*
example@example.com
Preferred Contact/Cell Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Service Address
*
Maintenance Window
Please indicate when the best time to set up would be. Set up will require approximately 30 minutes downtime.
Comments or Questions
Please verify that you are human
*
Submit
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