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Company Name: * (Required)
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Your Name: * (Required)
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Your Title:
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Address:
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City:
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State:
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Zip:
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Office Phone:
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Alternate Phone:
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Email:* (Required)
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Please enter items you wish to have backup power during a power interruption:
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Number of Server Computers:
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Traditional Telephone System:
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Number of VoIP Extensions:
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VoIP Telephone System:
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Alarm System:
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Number of Critical Workstations:
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Surveillance Equipment:
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In an outage, for how long would you need backup power?:
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Do you have an industrial-size battery UPS system?:
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Do you have a motor-powered backup generator?:
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How many floors does your building have?:
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On which floor of the building is your facility/office located?:
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Does your business have access to a loading dock?:
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Does your company have a disaster recovery plan?:
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Would you like to receive a brochure?:
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How did you hear about Banner Power Company?:
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Privacy Notice:
The information obtained in this survey is considered confidential and will not be sold or transferred.
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