Tech-Gofer Client Bandwidth Request

Client Bandwidth Request

Company Name

Name

First NameLast Name

Phone Number

Area CodePhone Number

Email

example@example.com

Service Address - Please Copy/Paste or Type In the Information

Make sure we have Address, Suite/Building #, City, State and Zip Code

Is this location an existing building or a new building?

Do you want us to qualify low cost, non-dedicated internet like Cable, Shared Fiber, DSL Options?

What Dedicated Internet Services do you want us to quote? Check all that apply

What Symmetrical Speed do you want Quoted? Only List 1 Speed....

50mg, 100mg, 200mg, 500mg, 1 GIG, 10 GIG

Do you need a managed router?

Number of Usable IP Addresses?

If you don't know, leave blank

When do you want the new connection to be live?

Any additional information you’d like us to know about the project or other locations?

Zoom Team