Date / Time * Sales Rep * Sales Rep Contact Number * Client Company Name * Contact First & Last Name * Client Email * Client Contact Number * Client Address Select OptionsChoose OptionRENEWAL LEADINTERNET MIGRATION LEAD Number Of Lines *Choose Lines123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100 Forborne\Non-ForborneChoose OptionForborneNonForborne Is it a Winback?Choose OptionYesNo Static IP - 5 Static IP for $12\monthChoose OptionYesNo SpeedChoose Option1525751503007501G Add promo if there is one Choose Free Telus public Wifi Choose OptionYesNo Notes
