Technical Resource Questionaire
Maintaining technical data and resources
Business Name
*
Business Primary Information
*
Street Address
Street Address Line 2, Suite, etc
City
State / Province
Postal / Zip Code
Primary Business Contact Name
*
First Name
Last Name
Primary Business Contact Email
*
example@example.com
Primary Business Phone Number
*
-
Area Code
Phone Number
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Is business billing Information the same as business primary Information?
*
Yes
No
Business Billing Information:
Business Billing Information
Street Address
Street Address Line 2, Suite, etc
City
State / Province
Postal / Zip Code
Primary Billing Contact Name
First Name
Last Name
Primary Billing Email
example@example.com
Primary Billing Phone Number
-
Area Code
Phone Number
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Is business shipping address the same as business primary address?
*
Yes
No
Business Shipping Information:
Business Shipping Information
Street Address
Street Address Line 2, Suite, etc
City
State / Province
Postal / Zip Code
Primary Shipping Contact Name
First Name
Last Name
Primary Shipping Contact Email
example@example.com
Primary Shipping Phone Number
-
Area Code
Phone Number
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Is technical contact the same as business primary contact?
*
Yes
No
Technical Contact:
Technical Contact
First Name
Last Name
Technical Contact Email
example@example.com
Technical Contact Phone Number
-
Area Code
Phone Number
Technical Contact Cell Number
-
Area Code
Phone Number
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Next
Internet Service Provider:
Do we have your permission to contact your Internet Service Provider in order to resolve technical problems or troubleshoot Internet connectivity related issues? We DO NOT access or make changes to billing, payment and/or account information. We may need for you to initiate authorization with your ISP. We will help you with this process.
Yes
No
Internet Service Provider:
Who is your Internet Service Provider?
Cox Business
Verizon
Comcast
Other
Account #
Phone# associated with account
PIN
Notes:
Is your public IP address static or dynamic
*
Static
Dynamic
Public IP Address:
Public IP
Subnet
Gateway
Pref DNS
Alt DNS
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Next
Please list your Internet domain(s). i.e. company.com, mybusiness.com, etc
This would typically be what comes after the @ in your email address.
Internet Domain Registrar
RegistrarName
Management url
Login / admin name
Login / admin credentials
Notes
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Next
Internal domain name
Local Domain Name
this would be what you use to log into your computer.
Domain Admin Username
Domain Admin Credentials
Router
Manufacturer
Model
Management url / ip address
Login / admin name
Login Credential
Notes
Should be Empty: