Dynamic Communications Inc. Cabling Request Form

Contact Information:

Name:

Company Name:

Daytime Phone:

Email Address:

DCI Privacy Policy:
Your name, company, phone number and email address will be withheld with the highest reguard by our professional staff. No information will be released, sold or made available otherwise to anyone outside of our company.

1. What type of cabling or wiring service do you need?

Opening a new office
Upgrading an existing office
Expanding an existing office
Other (please specify):

2. When do you need the work completed?

ASAP
Within a few weeks
Within a few months
Within 3 to 6 months
In more than 6 months

3. About how many locations or drops will you need to connect to the network?

Please Note: Locations or drops include employee workstations as well as common area applications such as fax machines and conference phones.

Unsure, but at least 530 - 49
Less than 550 - 69
5 - 970 -99
10 - 14100 - 199
15 - 19200+
20 - 29

4. What type of network/phone connection(s) will you need at the majority of your locations/workstations?

Both Data and Phone
Data only
Phone only
Not sure

5. What is or will be the required bandwith speed for your network?

Less than 1 Gigabyte
More than 1 Gygabyte
Not sure

6. Will you need the cabling/wiring to connect multiple floors within your office(s)?

No - Cabling/Wiring is for one floor only
Yes - Multiple floors will need to be connected
Not sure

7. What is the address Zip code for the office location?

Location Zip code

8. What additional products/services do you need?

(Check all that apply)

Fiber Optics
Phone system
Floor rack
Wall rack
Patching Pannel
Other Please Specify Other

9. Additional Requrements

Please describe, in detail, any additional requirements you may have for this cabling/wiring project.

Please send copy of this request to my email address