AOS Employee Service Request

Please provide as much information as possible so that AOS may provide you with Excellent Customer  Service.

 

 

Customer & Vendor Information

Customer's SBC Billing Information: 

Equipment Vendor's Contact Information: 

  
Billing Name:  Required Field
       
Contact Name:  Required Field
       
Phone:         Required Field
       
Fax:           Optional Field
       
 
Equipment Vendor Name:
   
I.C.R. Number:
   
Contact Name:
   
Phone:
   
Fax:
   
Installation Address: 
  Address:
Address 2:
     City:
    State:  ZIP:

 

Is the Billing address different than the installation address? Yes: No:  
 If yes, what is the customers billing address?  
  Address:
Address 2:
     City:
    State:  ZIP:
What is the (BTN) Billing Telephone Number?
		  (i.e. number on top of customer bill)
      Explain?  
Is SBC bringing the service to the MPOE, RJ21X (in the 
building / suite) or to the inside jacks?  
      Explain: 
Do you want additional features on any of these lines?

			  		Explain
Provide Additional Information Below:  

					 
Please enter the numbers you see in the box below  

Numbers:

Note:  This form is not a service agreement.  AOS will contact and send an official Price Authorization/SBC Service Agreement prior to installation.