Fax:

Please select your industry type

Equipment Vendor(Voice)		Equipment Vendor(Data)
Systems Integrator		Internet Service Provider
Value Added Reseller		Network Service Provider
Consultant		Other:

Select the products and services you currently market:

L ocal Dial Tone/PRI/DSS	Data	.
Long Distance	Internet	.
Local Loops	International Circuits	.
Fiber Projects/Buildouts	Equipment: (please specify)
Other: (please specify)

Select the IXC Carriers you currently Represent:

AT&T	Worldcom	Sprint
Global Crossing	Cable & Wireless	Qwest
XO Corp.	Broadwing	International Circuits
Other: (please specify)

Select the LEC Carriers you currently Represent:

Ameritech	Bell South	PacBell
Qwest	Southwestern Bell	Verizon
Other: (please specify)

Select the CLEC Carriers you currently Represent:

ELI	MFS/MCI	TCG/ATT
XO Corp.	Other: (please specify)
.	.	.