Full Name

Title

Company Email Address

Company Name

Company Address (Street #, City, State, ZIP Code)

Company Website

Company Phone Number

Distributor/Partner Name (if applicable)

Name of the person that the proposal should be addressed to

Email of the person that the invoice should be sent to

Check All That Apply Check All That Apply Fiber Between Firewall & Core Switch Ethernet Between Firewall & Core Switch Network Topology Drawing to Share Wifi?

Fiber Type: Fiber Type: Single Mode (Yellow Media) Multi-Mode (Blue Media)

Add the number of endpoints

Device Network IP

Subnet Mask (example /24)

DNS Servers IP (s)

LAN Gateways IP (s) / Next-Hop (s)

How many External/Public IP addresses in total?

Public IP Address (es)

VLANs? VLANs? Yes No

Subnet VLANs | ID VLANs

Firewall (s) Brand and Model

Switch (es) Brand, Model, Type

Protocols - Check all Apply Protocols - Check all Apply LACP STP

Check Yes if more than one building Check Yes if more than one building Yes No

Add the numbers of buildings Add the numbers of buildings 2 3

Are these buildings connected together? Are these buildings connected together? Yes No

Check All That Apply - 2nd Building. Check All That Apply - 2nd Building. Fiber Between Firewall & Core Switch Ethernet Between Firewall & Core Switch Network Topology Drawing to Share Wifi?

Fiber Type: Fiber Type: Single Mode (Yellow Media) Multi-Mode (Blue Media)

Protocols - Check all Apply Protocols - Check all Apply LACP STP

Number of Endpoints

Device Network IP

Subnet Mask (example /24)

DNS Servers IP (s)

LAN Gateways IP (s) / Next-Hop (s)

How many External/Public IP addresses in total?

Public IP Address (es)

VLANs? VLANs? Yes No

Subnet VLANs | ID VLANs

Switch (es) Brand, Model, Type:

Firewall (s) Brand and Model:

Check All That Apply - 3rd Building. Check All That Apply - 3rd Building. Fiber Between Firewall & Core Switch Ethernet Between Firewall & Core Switch Network Topology Drawing to Share Wifi?

Fiber Type: Fiber Type: Single Mode (Yellow Media) Multi-Mode (Blue Media)

Number of Endpoints

Device Network IP

Subnet Mask (example /24)

DNS Servers IP (s)

LAN Gateways IP (s) / Next-Hop (s)

How many External/Public IP addresses in total?

How many External/Public IP addresses in total?

VLANs? VLANs? Yes No

Subnet VLANs | ID VLANs

Firewall (s) Brand and Model

Switch (es) Brand, Model, Type

Protocols - Check all Apply Protocols - Check all Apply LACP STP

How many end Points?

Which traffic or product communicates outside your country of origin? Any outsource team?

Please mention the name of the antivirus software used by your organization.

Define the scope and expectations.