Jomar VOIP Questionnaire

Please fill out the form below to the best of your ability. Not all fields are necessary.
This will help your account manager and our engineering staff develop the best solution for your business.


Contact Information

Company: Office Phone*:
Name*: Mobile Phone:
Title:
Email*:
Website:
Contact Notes:

Business Information

Number of Locations:
Business Notes:

Existing Phone System Information

Phone System Brand: Phone System Type:
Extensions: Quantity: Remote Extensions: Quantity:
Phones: Quantity: Users: Quantity:
Paging Zones: Quantity:
Existing Phone System Notes:

Existing Telecom Information

POTS Lines Used for Voice:
Quantity: Provider: Monthly Fee:

$
POTS Fax Lines Used for Fax: Quantity:
Provider:
T1/PRI PSTN Connections: Quantity:
Provider: Monthly Fee:

$
T1/PRI Channels Dedicated to PSTN Voice: Quantity:  
PSTN VOIP/SIP Trunks / Call Channels: Quantity: Provider: Monthly Fee:

$
Existing Telecom Notes:

Existing Internet Information

Internet Connection 1:

Monthly Fee: $

Type: Provider:
Speed: Download: Mbps Upload: Mbps
Static IP Addresses: Total IPs: Available IPs:

Internet Connection 2:

Monthly Fee: $

Type: Provider:
Speed: Download: Mbps Upload: Mbps
Static IP Addresses: Total IPs: Available IPs:
Firewall:
Internet Notes:

New Phone System Information

Number of Simultaneous Calls Required: Call Center Features Required:
Server Required: Firewall Required:
PoE Ports Required: Quantity:
IP Phone Brand Preference:
Full-Feature IP Phones: Quantity: IP Phone Power Supplies: Quantity:
Standard IP Phones: Quantity:
Economy IP Phones: Quantity:
IP Video Phones: Quantity: IP Video Phone Power Supplies: Quantity:
IP Conference Phones: Quantity: IP Conference Phone Power Supplies: Quantity:
Headsets Required: Quantity: Paging System Zones: Quantity:
Ports Required: PRI:
FXO:
FXS:
New Phone System Notes