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Doctors Office
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Do You Qualify for a FREE Wireless Network
Network Needs Determination
*
Indicates required field
Company Name
*
Business Address
*
Line 1
Line 2
City
State
Zip Code
Country
Company Website
*
Industry
*
Restaurant / Bar / Coffee Shop
Doctors Office
Convention Center / Event Venue
Gym / Fitness Center
Salon / Spa / Health Club
Other
If "Other", explain
*
Do customers want to use your wifi?
*
Yes
No
Who Is Your Current Internet Service Provider (ISP)?
*
What Speed Is Your ISP Providing You?
*
Number of Point of Sale Devices
*
Number of Computers/Handheld Devices used in business operations
*
Estimated Monthly Cost of ISP?
*
Do you have a music player?
*
Yes
No
Do you need to remote access a dvr?
*
Yes
No
do you stream video from any devices?
*
Yes
No
Approximate Square Footage of Establishment?
*
Would you like us to price new internet for you?
*
No right now
Yes
No
Approximate Number of Customer wifi users At One Time?
*
Contact Name
*
Email
*
Phone Number
*
Upload Copy Of Internet Bill
*
Max file size: 20MB
We need this to properly setup the equipment before shipping to you. This will make installation much easier on your part.
Submit
Home
Features
Do I Qualify
Restaurant / Bar / Coffee Shop
Convention Centers
Gyms / Fitness Centers
Doctors Office
Other
Salon / Spa
About Us
Contact Us