SYSTEM INFORMATION

Date: ______________

 

END USER

 

Contact Name: _______________________________________________________________________

 

Company Name (site): _________________________________________________________________

 

Address: ____________________________________________________________________________

Site Phone #: _________________________________________________________________________

 

INSTALLER

 

Technician Name: ______________________________________________________________________

 

Company Name: _______________________________________________________________________

 

Address: ______________________________________________________________________________

 

Phone #: ____________________ Fax #: _______________________________________

 

E-Mail:________________________________________________________________________________

 

SYSTEM REQUIRING TECHNICAL SUPPORT

 

Software Key#: ______________________ # of Ports: _____________________

 

Software Version: ____________________ Phone System: ____________________________

 

VoiceGate Product:          VIP 4000        Lite       Voice Wizard         ICS/NT    ICS Lite/NT

(Please Circle)

 

Problem:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

TECNICAL SUPPORT RATES:

 

1)   Per Incident Rate       (A single call no longer than 20 minutes)                 $75.00/incident

2    Hourly Rate              (Each call is based on a 15 - minute minimum)         $150.00/incident

3)   6 Month Rate           (10 hours max/1 to 40 calls, 15 minute minimum)    $750.00

4)   Minimum Charge      (in house 3 hours)                                                $85.00 / Hour

5)   Minimum Charge      (on site 3 hours)                                                  $100.00 / Hour

6)   Passcode Recovery     (Incident rate & technician file time)                       $160.00

 

Which rate would you like? ______________________________________________________

 

Please fax back to 416 747-2887. A VoiceGate technician will contact you on site once your information has been processed.