Request Wireless Services
from ecWest

Please fill in the appropriate information for your system pricing request by checking the items and services that you need, send this request by clicking on the submit button, and someone will be in contact with you to discuss the information requested.

The Items marked with an (*) are required fields

Requested Networking Services

Internet Connection

DSL

Cable

Satellite

Dial-up

Install Network

New Network

Upgrade Network

Network Equipment Needed

	Hub	Ports
	Switch	Ports
	Cables	Number:
	Firewall	Computers:
	Wiring	Drops: Avg Length: foot
	Network Printer	Number: Network ready printer:
	Comments:
	Number of Systems:
	When Required:

Requested Wireless Network Services

Wireless Network Type

11/54 MB (802.11.b& g)

54 MB (802.11.g)

11 MB (802.11.b)

Access Point	Number:	* Required
11 MB PCI Wireless Card	Number:
11 MB PCMCIA Wireless Card	Number:
11 MB USB Wireless Card	Number:
11 MB PDA Smart Card	Number:
54 MB PCI Wireless Card	Number:
54 MB PCMCIA Wireless Card	Number:
54 MB USB Wireless Card	Number:
54 MB PDA Smart Card	Number:	* Not Avail Yet
Installation CDROM		* Windows Only
Mobile Blackberry Device	Number:
Blackberry Server	Users:
Cell Carrier:
Marketing Material
Training
Firewall		* Required
Maintenance Contract	Term:

	Comments:
	Number of Systems:
	When Required:

Personal Information

*	Name:
	Company:
	Address
	City:
	State
	Country
*	Phone:	. .
	FAX:	. .
*	E-mail
*	Comments:

Last Modified: Sat, June 17, 2006

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Request Wireless Services from ecWest

Request Wireless Services
from ecWest