Faxback request form #2 – Verilink Productivity 500 (34-00236) Product Manual User Manual
Page 90

Page 90
500 TA
FAXBACK REQUEST FORM #2
FAXBACK REQUEST FORM #2
CONSUMER: Please fill out the section below and the top of page 2, then
fax, or otherwise deliver, all four pages to your ISDN service provider. Config-
ure your 500 TA with the information returned to you.
Name: _____________________________ Title: ______________________
Company Name: ________________________________________________
Address: _______________________________________________________
City: ___________________________ State: __________ Zip: __________
Telephone Number: _________________ Fax Number: _________________
ISDN SERVICE PROVIDER: Listed on the following pages are the line
configuration requirements for the TxPORT 500 TA ISDN Terminal Adapter.
Please fax, or otherwise return, this sheet with the requested configuration to
the person listed above.
Please check one answer for each of the following questions:
1. Is the line set for custom (e.g. switch specific) or NI-1 (e.g. AT&T standard, NT1
PVCIC-2, or Siemens EWSD NI-1)?
____ Custom
___ NI-1
2. Switch Type?
___ AT&T 5ESS
___NT1 DMS 100
3. Switch Version?
DMS100 only
___ PVC IC-0
___ PVC IC-1
AT&T 5ESS
___ Point-to-Point
___ Multi-point
4. Carrier: ___ AT&T
___ MCI
___ Sprint
___ Other ________
Please list the applicable ISDN line information in lines 5 or 6:
AT&T Specific:
5a. SPID __________________ 5b. Voice and Data DN _________________
Northern Telecom DMS100 or National ISDN-1 Specific:
6a. Data SPID ___________________ 6b. Voice SPID __________________
6c. Data DN _____________________ 6d. Voice DN ___________________
CONSUMER: Please select the following optional services desired for this
particular line.
Feature Requirements:
Please check the preferred long distance carrier*:
___ AT&T
___ MCI
___ Sprint
___ Other
NI-1 Signalling (recommended)
___ Yes
___ No
* 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 the carrier and
ISDN Line Configuration Request Form #2
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