Form

Type of Quote Request
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Establish New AT&T Business Service Add Services to an Existing AT&T Account Switch to AT&T from another carrier
Company Information
Company Name:*
Existing Phone Number:
Street Address:*
Suite Number:
City:*
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Zip Code:*
Contact Information
First Name:*
Last Name:*
Title:*
Contact Phone Number:*
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Quote Request Information
New Services Needed:*

Local Phone Service Long Distance Service FastAccess® DSL Service AT&T Business Mobility (Cellular & Mobile Data)
New Phone Lines Needed:
How many will Rollover?:
Calling Features Needed:
Long Distance Options:
FastAccess® DSL Options:
Additional local services to include:

Voicemail Service International Long Distance Toll Free Number(s)
AT&T Business Mobility - Cellular & Mobile Data

New AT&T Business Cellular Service New AT&T LaptopConnect Cards New AT&T Mobile Netbooks with 3G & WiFi
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Installation Instructions
Preferred Installation Date:
- Month - Day Year
at
/ Hour Minutes
*Please allow a minimum of 5-7 business days from the time you place your final order
Jacks & Inside Wiring:*

I or my phone vendor will handle all jacks & wiring I need an AT&T technician to handle all jacks & wiring*
*An AT&T technician can install or rewire phone jacks for a labor charge of $85 for the first jack and $55 for each additional jack, plus$4.25 for each new jack plate.
Please provide detailed instructions for your Quote Request here:
By pressing "Submit" your Quote Request Information will be sent to an AT&T Solution Provider who will contact you within 24 hours to discuss your quote and pricing information. You will be sent to a Delivery Confirmation Page after pressing "Submit".

New companies which have not yet established a business credit history may be required to pay a one-time deposit of $50 per line prior to establishing their phone service. If applicable, this deposit is fully refundable in 12 months; additionally, any interest earned on this initial deposit amount will be paid to the customer as well. An AT&T representative will take the deposit payment over the phone if one is needed prior to your installation.
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Type of Quote Request

Company Information

Contact Information

Quote Request Information

Installation Instructions