Commercial Clients Survey
  1. Company Name: * (Required)
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  2. Your Name: * (Required)
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  3. Your Title:
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  4. Address:
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  5. City:
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  6. State:
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  7. Zip:
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  8. Office Phone:
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  9. Alternate Phone:
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  10. Email:* (Required)
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  11. Please enter items you wish to have backup power during a power interruption:
  12. Number of Server Computers:
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  13. Traditional Telephone System:
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  14. Number of VoIP Extensions:
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  15. VoIP Telephone System:
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  16. Alarm System:
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  17. Number of Critical Workstations:
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  18. Surveillance Equipment:
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  19. In an outage, for how long would you need backup power?:   
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  20. Do you have an industrial-size battery UPS system?:   
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  21. Do you have a motor-powered backup generator?:   
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  22. How many floors does your building have?:   
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  23. On which floor of the building is your facility/office located?:   
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  24. Does your business have access to a loading dock?:   
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  25. Does your company have a disaster recovery plan?:   
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  26. Would you like to receive a brochure?:   
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  27. How did you hear about Banner Power Company?:
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  28. Any questions/comments?
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  29. Privacy Notice:
    The information obtained in this survey is considered confidential and will not be sold or transferred.
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