Collocation Remote Terminal Equipment Enclosure (crtee) Application



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Collocation Remote Terminal Equipment Enclosure (CRTEE)

Application



DATE SENT




/




/







DATE REC’D




/




/




(VZ use only)

REVISION #




(Please see Section IID)


  1. CUSTOMER INFORMATION


1.


Company






Street







City





State



ZIP






2.


Contact Name (for questions related to this application)






Telephone #





Fax #




E-mail Address










3.


24 Hour Emergency Contact Telephone #





4.


Desired Service Date





/





/



(in accordance with tariffed intervals)




5.


ACNA





AECN














6.


Billing Information






Billing Manager Name








Company Name








Street Address








City




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