DIR Cabling Services Support

Please enter the following information (Please fill out all fields):

Agency Name
Requester's Name
Office Phone #	Ext
Cell Phone #	Fax
Email Address
Billing Address
	City State Zip
Physical Address
	City State Zip
Project/Service Address
	City State Zip

Technical Contact Name
Office Phone Number	Ext
Cell Phone Number	Fax
Email Address

	“The following questionnaire is not required when providing a detailed Scope of Work and drawing with your Form Request.”
Horizontal Cabling (Desktop):
Cable Manufacturer
Cable Category
Longest Cable Run	Shortest Cable Run
Total Outlet Cable Count	Number of Cables per outlet/location
Location Types and Count	Sheet rock , Cubicle , Floor , Other

Fiber to the Desktop:
Total 2-Stranded Fiber Cable Count	Type Connection
Location Types/Counts	Sheet rock , Cubicle , Floor , Other

Backbone:	Is Backbone Cabling required (Fiber / Multi-pair Copper):
Telecom Wiring Closet:	Is a Communications Rack required for the Wiring Closet:
Environment/Other:
Ceiling Height:	Is the Wiring Closet(s) (MDF/IDF) new or existing
When can the install take place


Products and Services ~~________________~~

Request a Quote ~~________________~~

Contract Details ~~________________~~

Contact Information ~~________________~~

ACS Documents and Policies ~~________________~~
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Contact:
Quint Cardwell
Vice President, Technology Services
quint.cardwell@acsdataline.com
512-719-6612 - Office 512-917-3828 - Mobile
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Contract #DIR-SDD-675