Site Readiness Questionnaire - Telus
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Site Readiness Questionnaire (Completed By Customer) Page 1 of 2 Requested Due Date Purchase Order # (if applicable) Customer Business Name: Install Address – Civic Address : Unit/Suite/Room City Province Postal Code Install Address – Legal Land Description or Lot/Block/Plan Quarter Section Township Range Median Lot Block Plan Billing Address Same as Civic Same as Legal Land Address : Unit/Suite/Room City Province Postal Code Billing Account Information Should this be billed to an existing account? If yes, please provide the account number: Contact Information Contact Name Direct Line Mobile Phone E -mail On -site Alternate Technical Yes No
Transcript of Site Readiness Questionnaire - Telus
Site Readiness Questionnaire(Completed By Customer)
Page 1 of 2
Requested Due Date Purchase Order # (if applicable)
Customer Business Name:
Install Address – Civic
Address :Unit/Suite/Room
City Province Postal Code
Install Address – Legal Land Description or Lot/Block/Plan
Quarter Section Township Range Median Lot Block Plan
Billing Address Same as Civic Same as Legal Land
Address :Unit/Suite/Room
City Province Postal Code
Billing Account Information
Should this be billed to an existing account?
If yes, please provide the account number:
Contact Information
Contact Name Direct Line Mobile Phone E -mail
On -site
Alternate
Technical
Yes No
Site Readiness Questionnaire(Completed By Customer)
Page 2 of 2
Order Detail InformationDoes this location have Existing TELUS Service?
What is its Customer Service ID: Customer LAN IP Address / Information:(Not required for Business Internet services)
Install Location / Demark(where at the installationaddress is the service beinginstalled)
Floor: Room: Description:
Special Access RequirementsOn Site Contact has a key to all relevant building areas including main telephone & electricalrooms?Location where service is to be placed is dust-free, has adequate lighting, & space for equipmentcabinet rack or wall mount (4'x4' plywood sheet)? Please note, if wall mount 4'x4' plywood sheetto be provided by Customer.Location where service is to be placed has appropriate electrical Building Ground in place?(building service ground, main electrical box, building steel, ¾'' metallic conduit or metallic water pipe)
Location where TELUS equipment is to be placed has adequate power sources & dedicatedcircuits backed up by UPS generated systems?Should you have responded 'No' to any of the questions above, please specify date whichservice location will be 'Site Ready' (i.e. by what date will all of the above questions have theresponse 'yes')
Additional CommentsIs there anything about your site that is special or unique that we should be aware of?i.e Data Centre: Call 48 or morehours in advance to arrange access
i.e. Special person to contact for access to LAN / Server /Telecom room
i.e. a Special person to contact to access Main Telecom Rooms or building riser rooms
No Yes
Yes No
Yes No
Yes No
Yes No
i.e. a Special training or site specific training required for TELUS to come onsite
