Pre-Consultation Form

Initiate your free consultation by completing this questionnaire and pressing the “submit” button.

For best results fax a current months phone and internet bills toll-free to 1-866-697-9698.

Please be sure to include your contact information.

Contact Us:

Phone:      224-588-5831

Fax:          888-697-9698

E-mail:      info@broadbandoptions.com

1. Has your internet ever been slow?

2. Who is your internet provider?

3. Does your phone bill vary monthly?

4. Who is your telephone service provider?

5. Have you experienced poor call quality?

6. Do you own or lease your phones?

7. Number of employees?

8. Number of offices?

9. Monthly internet expenditure?              $

11. Monthly telephone expenditure?          $

12. Remaining term: phone service agreement?

13. Does your phone system require IT Support?

14. Rate your current phone service quality?

15. Rate your current phone system features?

Please enter your contact information here.

Company Name

Contact

Phone Number

Email

10. Remaining term: internet service agreement?