Service Configuration Request
SatCom
VoIP
Date:
Request #
Contact Information
Company:
Email:
**
(required field ) - Use comma(,) to separate multiple emails
Contact Name:
Phone:
Company Address:
Mobile:
Company 2:
Fax:
City:
State:
Zip:
Country:
Salesperson:
Remote Installation Location:
Name:
Latitude:
Address:
Deg:Min:Sec:
Address 2:
OR
Decimal:
City, State, Zip:
Country:
Longitude:
Phone:
Deg:Min:Sec:
Phone 2:
OR
Decimal:
Remote Contact Email:
Action Request
Choose One
New
Change
Delete
Temporarily Suspend
Reactivate
Move
Requested Satellite
Choose One
Amazonas 2
Galaxy 28
SatMex 6 Hemi Beam
Telstar 11N US Beam
Telstar 11N Sub-Saharan Africa Beam
Telstar 11N European Beam
Telstar 14R US Beam
Other
Other:
Link Data Rate:
Band:
Choose One
Ku-Band
Outbound / Inbound:
Choose One
256 / 64
256 / 128
256 / 256
512 / 128
512 / 256
512 / 384
512 / 512
768 / 192
768 / 256
768 / 384
768 / 512
1024 / 128
1024 / 192
1024 / 256
1024 / 384
1024 / 512
1024 / 1024
1544 / 256
1544 / 384
1544 / 512
1544 / 768
2048 / 128
2048 / 256
2048 / 384
2048 / 512
2048 / 768
2048 / 1024
3072 / 1024
4096 / 1024
5120 / 1536
Kbps
Requested Access Level:
Choose One
Standard / No CIR
Standard / Added VoIP (at Additional Cost)
Upgraded Access / CIR (List Required CIR In Comments)
Corporate Continuity
Public Safety
Metered Service
Custom Access
Contention Rate:
Choose One
20:1 (Standard)
10:1
4:1 (Not Available With All Packages)
1:1 (Not Available With All Packages)
IP Address Required:
Choose One
Public /29 (5 Usable)
Public /30 (1 Usable)
VLAN
Private (NAT)
Equipment Parameters
Antenna:
Choose One
Supplied by IsoTropic
Skyware Global
Patriot
Prodelin
Other
Other:
Antenna Size (meters):
Choose One
Ku-Band
C-Band
Choose One
0.6 (Not Available With All Packages)
0.75 (Not Available With All Packages)
0.9 (Not Available With All Packages)
1.0 (Not Available With All Packages)
1.2
1.5
1.8
2.4
3.0
3.7
3.8
Other
Other:
Remote Mobile:
Choose One
AVL
C-Com
Winegard
MotoSat
SeaTel
KNS
Intellian
Other
Other:
Modem:
Choose One
Infinity 3100
Infinity 3100-NB
Infinity 5100
Infinity 5150
Infinity 5300
Infinity 5350
Infinity 7350
Infinity 8350
Evolution X1
Evolution X3
Evolution X5
Serial Number:
Block Up-Converter (BUC):
Choose One
2 Watt Ku
3 Watt Ku
4 Watt Ku
6 Watt Ku
8 Watt Ku
2 Watt C-Band
5 Watt C-Band
10 Watt C-Band
Other
Other:
Manufacturer:
Model:
Serial Number:
LNB:
LNB:
Choose One
DRO
PLL
Manufacturer:
Model:
Serial Number:
Have a Sales Expert Contact Me
Have a NOC Technician Contact Me
Additional Notes:
Date:
VSR #
Contact Information
Company:
Email:
**
(required field ) - Use comma(,) to separate multiple emails
Contact Name:
Phone:
Company Address:
Mobile:
Company 2:
Fax:
City:
State:
Zip:
Country:
Salesperson:
Remote Installation Location:
Name:
Modem Serial Number:
Remote Contact Email:
VoIP
Area Code:
Did quantity:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Caller ID:(max 15 chars)
Extension Quantity:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Fax:
YES
Fax Quantity:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Call Group Configuration:
E911 Address:
Address:
City
State
Zip Code
ATA:
ATA Model:
NONE
Linksys WRP-400-G1
Linsksys SPA2102
ATA Quantity:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Phones:
Phone Model:
NONE
Grandstream GXP-2000
Cisco 7940
Phone Quantity:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Phone Options:
NAT:
YES
Voicemail:
YES
Have a Sales Expert Contact Me
Have a NOC Technician Contact Me
Additional Details:
