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Request for Proposal
To learn more about Covad Distributed Enterprise Solutions, please complete the following form.
*
fields are required
First Name
*
Last Name
*
Company
*
Web site
*
Email
*
Phone
*
Address
*
Address Unit
City
*
State
*
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
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LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
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NH
NJ
NM
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OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip
*
Contact Method
*
Best Time to Call
*
How did you hear about Covad?
*
-- Please Select --
Direct Mail
Email Message
Tradeshow
Covad Website
Covad Sales Representative
Personal Recommendation
Magazine Ad
Internet Ad
Radio Ad
Other
What is your specific interest in Covad?
*
-- Please Select --
Need new phone system
Want to connect multiple locations
Want to reduce voice/data costs
No immediate need; just looking for info
Product Selection
*
-- Please Select --
Voice Solution
DSL
Industry
-- None --
Administrative & Support Services
Advertising
Agriculture
Apparel
Architecture
Banking
Biotechnology
Chemicals
Communications
Construction
Consulting
Education
Electronics
Energy
Engineering
Entertainment
Environmental
Finance
Food & Beverage
Forestry
Government
Hardware
Healthcare
Hospitality
Insurance
Legal
Machinery
Manufacturing
Media
Mortgage
N/A
Not For Profit
Other
Real Estate
Recreation
Relocation Services
Research
Retail
Security-Alarms
Shipping
Software
Technology
Telecommunications
Transportation
Travel
Unknown
Utilities
# of Offices
*
# of Employees
*
What type of system do you have?
-- None --
PBX
Centrex
Other
Analog Phones and Conventional Phone System
Replace PBX/KTS
-- None --
Yes
No
Current Connectivity
*
-- Please Select --
Dial-Up
Cable
ISDN
Frame Relay
DSL
T1
Other
Current Service Provider
*
-- Please Select --
Covad
SBC
BellSouth
Qwest
Verizon
AT&T
Sprint
MCI/Worldcom
Megapath
Earthlink
Other
Time to Purchase
*
-- Please Select --
<=1 Month
1-2 Months
2-3 Months
3-6 Months
6-12 Months
Unknown