NextLAN Consultant Program Sign Up form

Application for Partnership

Apply for a user name and password for partnership to the NextLAN™ Systems
Consultant/Engineering program.

First Name:

Last Name:

Job Title:

Company Name:

Company Type:

Address:

City:

State:

Province:

Zip/Country Code:

Country:

Phone:

Fax:

E-mail Address:

* The field is required

What is your job function ?

How long has your company been in business ?

Total number of employees ?

Total number of employees involved with information technology infrastructure design ?

Geographic coverage ?

Target customer base ?

Average installation size ? (in # of drops)

How many RCDD's do you have on staff ?

Does your organization use CSI formatted documentation ?

Are you members of other cabling system consulting programs ?

If so, Who's ?

Does your company provide structured cabling design services ?