Verilink Productivity 500 (34-00236) Product Manual - Manual (Page 89)

FAXBACK REQUEST FORM #1 500 TA Page 89
FAXBACK REQUEST FORM #1
CONSUMER: Please fill out the section below, then fax or otherwise deliver
this page to your ISDN service provider. Configure your 500 TA with the infor-
mation returned to you.
Name: _____________________________ Title: ______________________
Company Name: ________________________________________________
Address: _______________________________________________________
City: ___________________________ State: __________ Zip: __________
Telephone Number: _________________ Fax Number: _________________
Please check the ISDN Ordering Code desired:
___ Capability B ___ Capability C ___ Motorola Access 2
Please check the preferred long distance carrier*:
___ AT&T ___ MCI ___ Sprint ___ Other
* Some long distance carriers do not provide ISDN data service. If you choose
a long distance carrier that supports ISDN data service, you must contact that
carrier and request ISDN data service. You should also provide the directory
number(s) you will be using.
ISDN SERVICE PROVIDER: Please fax, or otherwise return, this sheet
with the requested configuration to the person listed above.
National ISDN-1:
Data SPID ______________________ Voice SPID _____________________
Data DN ________________________ Voice DN ______________________
ISDN Line Configuration Request Form #1 Page 1 of 1