Help us better serve you by letting us know a little about you
and your business before proceeding!

Tell us about your organization and its needs and we will gladly evaluate how Custom Information Services could be a benefit to you.
Contact Information
First Name:
Last Name:
Title:
Company:
Address:
Suite:
City/State/Zip:
Bus. Phone:
E-mail
Industry
Company Size
How did you find CIS?
1. How would you best describe your current phone systems needs?
We are looking to replace our current system
We are looking for a phone system for a new office or location
We are looking to expand our current system
2. How many simultaneous calls or "lines" do you wish your phone system to handle?
4 - 8
8 - 12
12 +
24 +
48 +
3. How many individual users or "extensions" will you need your system to accommodate?
4 - 8
8 - 12
12 - 16
16 - 24
24 - 36
36 - 48
48 - 100
100 +
4. Are you interested in receiving information on service and/or maintenance contracts?
Yes - we are interested in service contracts.
No - we are not interested in service contracts for our phone system.
Unsure - please advice me of service contract benefits and costs.
5. Are you interested in receiving information on leasing/finance options?
Yes - we are interested in leasing/financing options.
No - we are not interested in leasing/financing options.
Unsure - please advise me of all available financing options.
6. What is your estimated budget for this purchase?
Unsure
$2,000 - 4,999
$5,000 - 9,999
$10,000 - 19,999
$20,000 - 49,999
$50,000+
7. When do you intend to have this system installed?
As Soon As Possible
30 - 60 days
More than 60 days
8. What is the 5 digit ZIP code for the office location where this phone system will be installed?
9. What features do you want with your phone system?
Automated attendant (automatic answering and call routing)
Advanced call routing and tracking features (typically for call centers)
Music or advertising on hold (callers hear messaging/music while on hold)
Computer telephone integration (allows for advanced call handling features)
IP phones for remote offices/users
Call accounting reports
Voicemail
Others (please note)
10. Where will this new system be installed?
In current location
At a new location
Third party location
11. Please describe in detail any additional requirements you may have.

The information obtained on this form will not be shared with third-party solicitors.

Custom Information Services, 2007.
1201 North Watson Road, Suite 110, Arlington Texas, 76006
Toll Free: 888-739-3375 or 817-640-0016 x109 e-mail:nphillippi@customis.com.