5. How many phones and faxes machines are used at this location? a. 0 b. 1-5 c d e. 26 or more

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1 Rate Check Fax Form For business with more than one location, please complete one form per physical address. If services, such as voice, network, or internet, are centralized out of one location to remote offices, please include these services with the address of the central location. 1. Business Name and Address for this carrier rate survey? 2. Contact Name? 3. Contact Address? 4. Does the business have more than one location? 5. How many phones and faxes machines are used at this location? a. 0 b. 1-5 c d e. 26 or more 6. How many computers (PC, Mac, desktop, laptop) are used at this location? a. 1-5 computers b c d. 26 or more

2 7. How many servers are at this location? a. 0 b. 1 c. 2-3 d. 4-9 e. 10 or more 8. Is this location is dependent on a high volume of faxes per day? 9. Is there a phone system at this location? go to question 10 the phone system is hosted remotely by a third party provider (hosted VoIP) go to question 11 c. We don t use a phone system go to question Do you own the phone system at this location? it is leased c. No it is provided as a part of a managed service 11. Considering the different types of voice, internet and data carrier services at this location, which services are you currently paying for? Select all that apply. a. Voice/fax lines (Business Rate Phone Line, PRI, T1) b. Internet (DSL, Cable Modem, data T1, Ethernet, etc.) c. Private data network (MPLS IP-VPN, MPLS-based Ethernet, Point-to-Point, etc.) 12. Which carriers are currently providing carrier service? Select all that apply. a. AT&T f. Verizon k. Optimum p. Charter b. Earthlink g. Level 3 l. Cogent q. Comcast c. Windstream h. CenturyLink m. AirSring r. Time Warner d. TWTelecom i. Cavalier n. Nitel s. BrightHouse e. Sprint j. XO o. Mediacom t. Cincinnati Bell u. Other (you may list more than one)

3 13. How did you sign up for carrier service? a. Directly through the carrier(s) b. Through a third party provider (someone who resells carrier services and bills you directly for the carrier service) c. Through both carrier and third party provider 14. Does the third party provider include phone system support in the agreement? 15. Do you have a service agreement with any carrier or third party provider for a certain term? 16. If yes to question 15, please provide the following information for each agreement? a. Who is the agreement with b. The services provided c. The agreement term and expiration date

4 17. Additional comments or details you want to provide? 18. I am interested in learning about more about the following: a. Cost Effective Phone Systems and Carrier Options. b. Premise-based hosted and managed phone system. c. Data and Voice network infrastructure, Wi-Fi, and carrier services. d. Microsoft Office 365 for Business. e. HIPAA, ephi, and HITECH Act compliant ; backed by written Microsoft BAA. f. Microsoft Lync voice deployments and integration. g. Backup and Recovery of my Critical Data and Systems. h. IT assessment and consulting services. i. Having a senior-level IT expert involved with my business on a parttime basis. j. I am not interested at this time. Congratulations! You are finished with fax form. Please fax this form and copies of all carrier contracts, third party reseller agreements and billing statements. Account information is not required. Please black out any account information you do not wish to provide. Fax to: CheckMyVoiceAndDataRate.com ICS Technology Solutions

5 Optional information The following questions about your phone system are optional 1. How old is the phone system? 2. What type of phone system supports this location? a. Analog PBX b. Digital PBX c. IP PBX (VoIP) d. Phone system is hosted remotely by a third party provider (hosted VoIP) e. Don t know 3. What services are connected to the phone system? a. Multiple individual basic phone lines b. Multi-line trunk service(s), such as a PRI or T1 c. A Voice-over-IP (VoIP) phone system connected to a SIP enabled data network 4. Do you own the phone system? a. Owned b. Leased c. Don t know d. N/A 5. If the phone system is hosted, a. Who is the hosting provider? b. Are you currently under contract? i. When does it expire? c. Are you interested in changing host providers? d. N/A

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