Advantage Computers Internet Connection Worksheet
What is your name?
What is your email address?
What is your company name?
Who is the technical contact at your company?
Phone #
Fax #
What type of Internet connection will this be?
Dialup
Cable Modem
DSL/ADSL
Wireless
Satellite
Frame Relay
T1
Other
Please enter the following information about your Internet Service Providor
NOTE: (AOL, MSN, and NetZero will not work.)
Internet Providor's Name:
(Example: Earthlink)
Dialup Telephone Number:
Username:
Password:
Will you expect or want ABCS to provide Internet support for your company?
No
Yes