Use this form to tell us about your current telephone system, if any, and how you would like to improve it. Required fields are mark with a *  You can visit the Panasonic Consumer Services Division on the web at http://www.panasonic.com/csd

How many phones do you currently have?  *

1 to 8

9 to 16

17 to 24

25 to 32

How many telephone lines do you have?     *

How many of these are for voice conversation?     *

Do you have in-house voicemail?    Yes No* 

Do you desire in-house voicemail?  Yes  No*

What brand name is your equipment?   None Panasonic Digital Panasonic Analog Vodavi/Starplus Toshiba AT&T/Lucent/Avaya (Not required but helpful)

What model(s) are the telephones?   (Not required but helpful)

If you need to expand your existing system, by how many telephones/lines?  

Would you like to include any of the following options on your quote?

Music on hold  Backup Battery System  Caller ID  Other

Are you familiar with Panasonic Telephone Systems?  

How did you hear about Atlantic Communications?

Web Site Yellow Pages Radio/TV Flyer Employee (Other)

Enter your comments in the space provided below:

Tell us how to get in touch with you:

Name
E-mail
Tel
FAX

Please contact me as soon as possible regarding this matter.