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PARTNER
®
Advanced Communications System
1
Form A—Customer Information
Form A—Customer Information 0
C
USTOMER BILLING NAME:BILLING PHONE NUMBER:
C
USTOMER CONTACT:CONTACT PHONE NUMBER:
P
ERSON TO BE TRAINED:TRAINEE PHONE NUMBER:
S
ALES PERSON/ACCT EXEC:SALES/AE PHONE NUMBER:
G
ENERAL CONTRACTOR:CONTRACTOR PHONE NUMBER:
(only required if new construction)
I
NSTALLATION ADDRESS:
I
NSTALLATION DUE DATE:
N
OTES TO INSTALLER:
F
EATURES OF INTEREST:
(list in order of priority)
S
ERVICE VERIFICATION:
Provide the name of the telephone service representative who verified your service and the date the
service was verified.
This is not required for all installations. See next page for details.
VERIFIER NAME:DATE VERIFIED:
I
NSTALLER NAME:DATE OF INSTALLATION: