*Customer Type: Agent Corporation / Enterprise Residential / Small Business Carrier Government
*First Name:
*Last Name:
*Title:
*Phone:
*Fax:
*Mobile Phone:
*Email:
*Company Name:
*Website:
*Address:
*City:
*State or Province:
*Country:
*ZIP or Postal Code:
*How did you hear about Broadwing? ---None--- Advertisement Broadwing Customer Broadwing Employee Other Trade Show Web Search Engine Word of Mouth
*Is your location a Duke Property? yes
*Business Type: Corporation Subchapter S Corporation Partnership Sole Proprietorship Other
*How Long has your company been operational? ---None--- Less than 1 year 1-5 years 6-10 years More than 10 years
*Current Broadwing Agent? yes
*Number of Employees --None-- 0-25 26-100 101-250 251-500 501-1,000 1,001-5,000 1,001-5,000 >10,001
*Number of Sub-Agents --None-- <10 11-25 26-50 51-75 76-100 101-150 151-200 >200
*What size business do you target?
*Additional Comments or Information
*What Products are you interested in? (check all that apply) Private Line/MultiConnect Frame Relay/ATM Dedicated Internet Private IP (IP VPN) Collocation International Data Services CPE & Managed Network Services Voice - Local Voice - Long Distance (switched or dedicated) Voice - International Voice Over IP (VOIP) Other
*Number of Employees: --None-- 0-25 26-50 51-100 101-250 251-500 501-1,000 1,001-5,000 5,001-10,000 >10,001
*Annual Revenue/Sales --None-- $0 or Non-Profit <1M 1-25M 25-50M 50-100M 100-500M 500M-1B 1B-5B 5-10B >10B
*Annual Telecom Budget: (1000.00)
*Industry: --None-- Aerospace & Defense Agriculture Apparel Automotive & Transport Equipment Banking Biotechnology Chemicals Communications Computer Hardware Computer Software & Services Conglomerates Construction Consulting Consumer Products-Durable Consumer Products-NonDurable Diversified Services Drugs Education Electronics Energy Engineering Entertainment Environmental Finance Food & Beverage Government Healthcare Hospitality Insurance Legal Leisure Machinery Manufacturing Media Metals & Mining Not For Profit Other Real Estate Recreation Retail Shipping Technology Telecommunications Transportation Utilities Wholesale
*Current Provider: --None-- AT&T Bell South Broadwing Global Crossing Level 3 MCI Other Paetec Qwest Savvis SBC Sprint Verio Verizon Wiltel XO
*Current Provider Details:
*Additional Comments or Information:
*What Products are you interested in? (check all that apply) Long Distance for your phone (1+ dialing) Local Voice International Voice Frame Relay/ATM Dedicated Internet Voice Over IP (VOIP) 800 Service Calling Card Teleconferencing Other
*Are you part of an Association (i.e. Chamber of Commerce, Trade Association)? If yes, what is the name of the Association? Advertising Specialty Institute Agri-Business Council of Oregon Agricultural & Industrial Mfgs. Reps. Association Alabama Bankers Association All Star Dairy Association Alliance of State Automotive Aftermarket Association Allied Purchasing Company American Amusement Machine Association American Association of Meat Processors American Association of Museums American Council of Independent Laboratories American Hardware Manufacturers Association American Institute of Architects - VA Council American Institute of Architects - WA Council American Institute of Graphic Arts American Library Association American Road & Transportation Builders Association American Seed Trade Association American Society of Agricultural Consultants American Society of Appraisers American Subcontractors Association American Supply Association American Traffic Safety Services Association America's Community Banking Partners, Inc. Amusement & Music Operators Association Architectural Woodwork Institute Assoc of the Wall and Ceilings Industries Intl Associated Landscape Contractors of America Association for Accounting Administration Association For Independent Music Association of Diesel Specialists Association of Ingersoll - Rand Distributors Association of Washington Business AUC, Inc. Michigan's Heavy Construction Association Automotive Aftermarket Industries of Minnesota Automotive Aftermarket Industry Association Automotive Warehouse Distributors Association Automotive Wholesalers of Illinois Automotive Wholesalers of New England Automotive Wholesalers of Texas Barstow Area Chamber of Commerce Brick Industry Association Building Service Contractors Association Intl Business Associates California Association of Licensed Investigators California Automotive Wholesalers Association California Cast Metal Association California Fisheries & Seafood Institute California Glass Association California Grain and Feed Association California Independent Petroleum Association California Seed Association California State Floral Association California Warehouse Association Career College Association Ceilings & Interior Systems Construction Assoc Cleaning Equipment Trade Association Colorado Grain & Feed Association Community Transportation Association of America Concrete Reinforcing Steel Institute Cornerstone Chamber of Commerce COSTCOR Dayton Area Chamber of Commerce Dental Dealers of America Dental Manufacturers of America Design Professionals Association Door and Hardware Institute Duke Realty Corporation Electric League of Missouri and Kansas Electric League of the Pacific Northwest Electrical Apparatus Service Association Equity Electrical Associates, Inc. Equity Industrial Associates, Inc. Evangelical Christian Publishers Association Farm Equipment Wholesalers Association Fire & Emergency Mfgs. and Services Association Florida Automotive Industries Association Florida Land Title Association Florida Surveying and Mapping Society Garden Writers Association of America Geneva Area Chamber of Commerce Gift Association of America Glass Association of North America Greater Fort Wayne Chamber of Commerce Herb Growing & Marketing Network Illinois Propane Gas Association Illinois Society of Professional Engineers Independent Cash Register Dealers Association Independent Computer Consultants Association Independent Medical Distributors Association Independent Sealing Distributors Indiana Association of Insurance and Financial Advisors Indiana Automotive Wholesalers Association Indiana Grain and Feed Association Now (Agribusiness Council of Indiana) Indiana Society of Professional Land Surveyors Industrial Distribution Association Institute of Store Planners Intermodal Association of North America International Assoc. of Refrigerated Warehouses International Festivals & Events Association International Music Products Association International Sleep Products Association Intl. Communications Industries Association Investment Company Institute Irrigation Association Kansas Chamber of Commerce & Industry Kentucky Association of Highway Contractors Kentucky Association of Realtors Kentucky Bankers Association Kentucky Broadcasters Association Kentucky/Indiana Automotive Wholesalers Assoc Laser Institute of America Lightning Protection Institute Louisiana Trial Lawyers Association Mailorder Gardening Association Manufacturers' Agents National Association Maple Flooring Manufacturers Association Maricopa County Bar Association Marketing Research Association Marking Device Association International Massachusetts Association of Life Underwriters Material Handling Equip. Distributors Association Mechanical Contractors Association of America Metal Finishing Suppliers' Association Michigan Association of Life Underwriters (Financial Advisors) Michigan Association of Realtors Michigan Automotive Parts Association Michigan Christmas Tree Association Midwest Ski Areas Association Midwest Western Wear & Equipment Association Minnesota Bankers Association Minnesota Chamber of Commerce Missouri Agricultural Industry Council Missouri Center for Business Services, Inc. (MO Chamber of Commerce) Missouri Forest Products Association Missouri Landscape & Nursery Association Motorcycle Industry Council National Art Materials Trade Association National Association of Consumer Shows National Association of Enrolled Agents National Association of Fire Equipment Distributors National Association of Healthcare Consultants National Association of Hose & Accessories Distrib National Association of Independent Lighting Distr National Association of Metal Finishers National Association Of Professional Mortgage Women National Association of Professional Surplus Lines Offices National Association of Sporting Goods Wholesalers National Association of Steel Pipe Distributors National Association of Surety Bond Producers National Association of Water Companies National Electronic Distributors Association National Indep. Bank Equipment and Systems Assoc National Society of Insurance Premium Auditors National Tooling & Machining Association Nebraska Grain & Feed Association Nebraska Nursery and Landscape Association Network of Executive Women in Hospitality Nevada Society of Certified Public Accountants New Alternatives for Publishers, Retailers & Artists New Jersey Manufactured Housing Association New Mexico Automotive Parts & Services Association New Mexico Society of Certified Public Accountants New York State Automotive Aftermarket Assoc. North American Meat Processors Association North Central Electrical League Ohio Chamber of Commerce Oklahoma Society of Certified Public Accountants Oklahoma/Arkansas Automotive Aftermarket Association Oregon Automotive Parts Association Organization Development Network Paint & Decorating Retailers Association Pennsylvania Automotive Wholesalers Association Performance Warehouse Association Plumbing-Heating-Cooling Contractors of Minnesota Power-Motion Technology Representatives Assoc Printing & Graphic Communications Association Printing and Imaging Assoc. of New York State, Inc Printing Industries of the Midlands Printing Industries of Wisconsin Private Investigators of Florida Professional Insurance Agents of Connecticut Professional Insurance Agents of Florida Professional Insurance Agents of Georgia. Professional Insurance Agents of Indiana Professional Insurance Agents of Kansas Professional Insurance Agents of Minnesota Professional Insurance Agents of New Jersey Professional Insurance Agents of New York Professional Insurance Agents of Oklahoma Professional Insurance Agents of OR, WA and AK Professional Insurance Agents of PA, MD & DE Professional Insurance Agents of Tennessee Professional Women in Construction Retex Rhode Island Life Underwriters Association Rocky Mountain Automotive Wholesalers Association Roofing Contractors Association of California Santa Maria Valley Contractors Association Satellite Broadcasting and Communications Association Secure Payments Systems Security Industry Association Service Specialists Association Small Business Legislative Council Snow & Ice Management Association St. Louis Association of Life Underwriters Suffolk County Bar Association Sun States Assoc of Professional Insurance Agents Tennessee Forestry Association Texas Criminal Defense Lawyers Association Texas Independent Producers & Royalty Owners Association Texas Insurance Professionals Textile Care Allied Trades Association The Hand Tool Institute Utah Association of Certified Public Accountants Utah Trial Lawyers Association Vacuum Dealers Trade Association Virginia Association of Museums Virginia Association of Realtors Virginia Automotive Parts & Services Assoc. Washington Association of Landscape Professionals Washington Automotive Wholesalers Association Western Toy & Hobby Representatives Association Window Coverings Association of America Wisconsin Potato & Vegetable Growers Association World Floor Covering Association World Sign Associates Wyoming Society of Certified Public Accountants Yacht Brokers Association of America
*What Products are you interested in? (check all that apply) Private Line Frame Relay/ATM Dedicated Internet Voice - Local Voice - Long Distance Voice Over IP (VOIP) Other
*Number of Employees --None-- 0-25 26-50 51-100 101-250 251-500 501-1,000 1,001-5,000 5,001-10,000 >10,001
*Annual Telecom Budget (1000.00)
*Target Customer Annual Revenue --None-- <1M 26-100M 101-250M 251-500M 501-1,000M 1,001-5,000M >1B
*Government Agency:
