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Name:
Company Name:
Title:
Address:
City:
State:
Zip Code:
Telephone Number :
Fax Number:
E-Mail Address :
Are you Currently an
Americom Customer

(Yes/No)

Product Intrerest:

Picazo VS1 Business Telephone System
Picazo DP200 Display Telephone Picazo SL260 Single Line Telephone Picazo ACD Status Board
Picazo Attendant 98 Software Picazo Call 98 Software Picazo Connect 98 Software
Picazo CTIM Module Interface Picazo PCCL Card Interface Picazo PCOM Module Interface

Other:

Reason For Inquiry:
Purchase Time Frame:
Decision Level:

Configure Your System

1. Number of Telephones:                2. Number of Telephone Lines:           
3. How Many Display Telephones: 4. How Many Single Line Telephones
5. How Many Attendant 98 Software
    Packages: 		 6. How Many Call 98 Software 
    Packages:
7. How Many Connect 98 Software
    Packages: 		8. How Many CTIM's to configure for:      
9. How Many PCCL's to configure for:  10. How Many Pcom's to configure for:     
11. Battery Backup Unit:   (Yes/No)        
12. Configure For ACD     Groups:      Agents: 
13. Configure the ACD with a Status Board: (Yes/No) 
8. If you are unsure of your needs please tell us a little about what you expect from your equipment.
    The more information you provide the better we will be able to serve you.  Please list this info in the
    Comments Field.  Thank you.
Comments:

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