WIRELESS QUOTE REQUEST FORM

(Mobile Phones and PDA's)

* Contact Person: Name:
* Contact person: Email Address:
* Contact person: Phone Number:
* Contact Persons: Title:
* Company Name:
* City:
* State:	AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA
* Zip:
* How many Wireless Phones does your company pay for?:
* What Carriers do you use today for Wireless Plans? check all that apply.:	Cingular ATT Wireless Verizon Wireless T-Mobile Nextel Sprint PCS Other
* Are you in contract?:	Yes No To scattered to tell (help me find out)
How much is your total wireless monthly expense?:
Does your staff expense them in to be paid or do you have corporate plans?:	Expense into Corporate Corporate Plan BOTH
Does your staff travel internatonally?:	Yes No
Do use wireless email or web service now?:	Blackberry:|:s Treo:|:s other Data Device:|:s Hot Spots or laptop cards
Are there any wireless providers that you would absolutely not do business with :
Comments/Questions: