Faxback request form #2 – Verilink Productivity 500 (34-00236) Product Manual User Manual

Page 90

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Page 90

500 TA

FAXBACK REQUEST FORM #2

FAXBACK REQUEST FORM #2

CONSUMER: Please fill out the section below and the top of page 2, then
fax, or otherwise deliver, all four pages to your ISDN service provider. Config-
ure your 500 TA with the information returned to you.

Name: _____________________________ Title: ______________________

Company Name: ________________________________________________

Address: _______________________________________________________

City: ___________________________ State: __________ Zip: __________

Telephone Number: _________________ Fax Number: _________________

ISDN SERVICE PROVIDER: Listed on the following pages are the line
configuration requirements for the TxPORT 500 TA ISDN Terminal Adapter.
Please fax, or otherwise return, this sheet with the requested configuration to
the person listed above.

Please check one answer for each of the following questions:

1. Is the line set for custom (e.g. switch specific) or NI-1 (e.g. AT&T standard, NT1
PVCIC-2, or Siemens EWSD NI-1)?

____ Custom

___ NI-1

2. Switch Type?

___ AT&T 5ESS

___NT1 DMS 100

3. Switch Version?

DMS100 only

___ PVC IC-0

___ PVC IC-1

AT&T 5ESS

___ Point-to-Point

___ Multi-point

4. Carrier: ___ AT&T

___ MCI

___ Sprint

___ Other ________

Please list the applicable ISDN line information in lines 5 or 6:

AT&T Specific:
5a. SPID __________________ 5b. Voice and Data DN _________________
Northern Telecom DMS100 or National ISDN-1 Specific:
6a. Data SPID ___________________ 6b. Voice SPID __________________
6c. Data DN _____________________ 6d. Voice DN ___________________

CONSUMER: Please select the following optional services desired for this
particular line.

Feature Requirements:

Please check the preferred long distance carrier*:

___ AT&T

___ MCI

___ Sprint

___ Other

NI-1 Signalling (recommended)

___ Yes

___ No

* Some long distance carriers do not provide ISDN data service. If you choose a long
distance carrier that supports ISDN data service, you must contact the carrier and

ISDN Line Configuration Request Form #2

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