Connectivity (Fiber or multi-site) What is the goal of this project?Why are you considering a new Connectivity solution? Add redundancy Reduce cost Increase visibility Replace MPLS Increase bandwidth Add new site(s) Replace current network Other Desired Service(s) MPLS Internet (DIA) Wireless (LTE) SD-WAN Private Line Broadband (Cable/DSL) Dark Fiber VPLS Other Desired Deployment? Single site Multi site Which devices would you like the carrier to include and manage? Routers Firewalls SD-WAN None Desired Term Length 1 Year 2 Years 3 Years 4 Years Current NetworkNOTE: Feel free to use this Connectivity Template to provide a list of desired bandwidth by site. Number of Locations*OPTIONAL - Attach a network spreadsheet/diagram. REQUIRED for 10 or more sites.Speeds and Feeds - use this table for less than 10 sitesAddressCurrent Speed (download/upload)Desired Speed (download/upload)# Users Primary Network Type MPLS Internet Other Primary Network CarrierContract ExpirationDo you have a Backup Network in place? Yes No VoiceCurrent Voice Setup? SIP Trunks PRIs UCaaS Other Please describe your current voice setup in more detail.Are you interested in alternatives to your current voice setup? Yes, UCaaS Yes, SIP trunks. No Other If possible, please fill out the UCaaS IQA to provide more detail.Total # UCaaS seats# Total DIDs (Phone Numbers)# Total Concurrent Call Paths# Toll-Free (800) NumbersTotal Long-Distance Usage (min/month)How many analog (POTS) lines do you need at each site?Helpful InfoWho manages your network today? Carrier Third party You Other Average Monthly SpendData Center(s) MPLSInternetHeadquarters MPLSInternetRemote Sites (Avg) MPLSInternetDo you have Telecom Expense Management in place? Yes No Are there specific Carriers that you would like to INCLUDE?Are there specific Carriers that you would like to EXCLUDE?What are your primary decision criteria? Price Customer Service Network Uptime Other What is your ideal "Go Live" date for this network?Additional Environment DetailsAdministrationFirst Name (Client)*Last Name*TitleEmail Address* Phone Number*Company*EmployeesHQ Address Street Address Address Line 2 Address Line 2 State State / Province / Region Country USA Canada UK State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Postal Code ZIP Code Province/Territory AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Postal Code Postal Code ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Techchieva Trusted Advisor / Account ManagerTA/AM Email Address TA/AM Phone Number
