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REQUEST FOR SALES AND DESIGN SUPPORT CENTER SERVICES (E-1154)
Check each service being requested and describe in Scope of Work below:
Installation Specifications
DEFINITY
AUDIX / Intuity
MERLIN LEGEND Networking
Sys Mgmt / CAS
UPS / DC Power
CONVERSANT
CMS
Floorplan OtherTechnical Assurance
(Check products)
GENERAL INFORMATION:
CUSTOMER INFORMATION ACCOUNT TEAM INFORMATION
DESIGN CENTER FAX: 303-850-8932(Complete all fields):
Name:
Address
City: ST: Zip:
LDN:
(if multiple ILs are involved, list others below in Scope of Work)
Mark if Customer Permission for Switch Access has been
granted.
(if multiple MBO Codes are to be charged, list below in Scope of Work)
IL:
Cust. Contact Name:
MBO Project No.:
New
Scope of Work:
Requested Due Date for Technical Assurance:
Requested Due Date for Floorplans:
MOJ Date: Cutover Date:
Project Manager:
Tel. No.:
Alternate Contact: Title:
Tel. No.:
MBO Code to be Charged:
Cust. Contact Tel. No.:
Please list model and version of ALL Products (Switches and Adjuncts), both existing and/or proposed. Also specify the
number of nodes in an existing and/or proposed network plus hardware connectivity (digital/analog) and attach diagram.
Name: Title:
Address
City: ST: Zip:
Tel.No.: FAX:
e-mail id:
Add Upgrade RFP
for Specifications, other Deliverables:
Verbal ResponseWritten Response
Controlled Introduction
PRE CONTRACT OR POST CONTRACT. ATTOMS/DOSS Ref No’s