General Information
	Type of connection:		Please select 512 Kbps 1 Mbps 1.54 Mbps 2 Mbps 3 Mbps 4 Mbps 5 Mbps 10 Mbps Not sure
	Approximate Gigabytes of traffic usage per month:		Please select 5 Gb 10 Gb 20 Gb 30 Gb 40 Gb 50 Gb 60 Gb 70 Gb 80 Gb 90 Gb 100+ Gb Not sure
	Number of static IP addresses:		Please select 1 4 8 16 32 64 Not sure
	Quote for ... locations:		Please select 1 location 2 locations 3 locations 4 locations 5+ locations Not sure
	Number of users on your network:		Please select 2 - 5 6 - 20 21 - 50 51 - 100 100+ Not sure
	Type of building:		Please select small unit, office complex commercial building 1-3 floors commercial building 4+ floors warehouse style building other
	Web hosting space:		Please select 25 Mb 50 Mb 100 Mb 200 Mb 400 Mb 1 Gb Not sure
	Email accounts:		Please select 5 10 20 30 40 50 Unlimited
	Firewall:		Please select Yes No
	VPN:		Please select Yes No
	Network support:		Please select Yes No

	Location
	Phone number at install site:		(xxx) xxx-xxxx
	Address of install site:
	City:
	Province:
	Postal Code:

	Contact Information
	Company:
	First/Last name:
	Email:
	Confirm email:
	Phone number we can contact you:		ext
	Best time to contact you:
	Comments: