Telefield NA Online Product Registration Form Step 1 of 4 - Your Details 25% Welcome to the online registration form for the product you have recently purchased! Please fill out each of the four sections completely. Fields marked with a red asterisk are required. This entire form should take you no more than 2 minutes to complete. Feel free to contact us via phone or email if you have any problems.TitleMrMrsMsMissName* First Last Company NameAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* Please fill out the section completely. Fields marked with a red asterisk are required. Company Type*---None Selected---AutomotiveChurch / Religious InstitutionFinancial ServicesGovernmentHealthcareLaw Firm / Legal ServicesProfessional ServicesReal Estate / HousingRecreationRestaurantRetailSchool / UniversityOtherNot a BusinessType of Automotive Company* Repair Shop Sales / Rental Service / Transportation Type of Financial Services Company* Accounting Insurance Tax Services Type of Government Agency* City / Town Hall Elected Offical Police / Fire Department Third Choice Type of Healthcare Company* Dentist / Doctor's Office Medical Products Veterinarian Type of Legal Services Company* Courthouse Law Firm Type of Recreation Company* Golf Course Park Pool Intended Product Use*Personal use in the homeBusiness use in the homeBusiness use in the officeWhat best describes the set-up at your office?*One phone shared by everyoneMultiple phones shared by everyoneMultiple phones; some shared, some notEach employee has their own phoneNumber of Locations*Number of Employees* How many lines of service do you have?*How many phones are on the system?*How many phones are corded?*How many phones are cordless?*Are there any other brand of phones on the network?*Do you have any analog lines such as fax?YesNo Please fill out the section completely. Fields marked with a red asterisk are required. Product Model*--- Handset / Headset Combo ---251112521125110RE3--- 2-Line Stand Alone ---25201RE125204RE125205RE1252142521525216--- 2-Line Expandable ---25055RE125065RE125255RE22526025212252522527025210RE125250RE1--- 4-Line ---25423RE125424RE125425RE125420H5401RE1--- 8-Line ---2582525801H5801--- VoIP Models ---IP110IP115IP120IP125IP150IP160IP060IP170IP070IPX500Who is your Internet Service Provider?*Who is your VoIP service provider?*Date of Purchase Purchase LocationPlease select the three most important factors that influenced your decision to purchase this product*First ChoiceSecond ChoiceThird ChoiceIf you would like to participate in future information gathering please indicate the preferred method of contact:* Email Phone • We respect your privacy. Any and all information collected will be kept strictly confidential and will not be sold, disclosed or loaned. If you have any questions, please feel free to call or write us.