Service Request Signup Contact InformationOrder InformationOrganization Name Phone First Name Last Name Email Service Address City State Zip Code PreviousNextBusiness Type Any Business Office Medical/Dental Office Auto Shop Hotel Restaurant ManufacturingWhat services are you interested in? Phone Service IT Support & Security Security Cameras Professional Services Only (choose this only if none of the above are selected)How many guest rooms? Starting room number Ending room number Phone ServiceCheck out our phone models here.How many phones do you need? External Numbers Transfer my existing phone number(s) to the new service Order new phone number(s)Fax line? Transfer my existing fax number(s) Order new fax number(s) Don't need a fax numberAdditional details about your phone service? We specialize in delivering a phone solution that will meet the needs of your business, so don't hesitate to put as much detail as possible. IT Support & SecurityWhat IT Support services are you interested in? Internet Optimization Network Support & Security Wi-Fi Support Security Camera Support Computer Support Business Automation OtherAdditional details about IT Support services you're looking for. Security CamerasHow many cameras do you need installed? Do you already know where each camera will need to be installed? Yes No Click + to add as many cameras as necessary Camera Number Location Additional details about Security Cameras you're looking for. Professional ServicesWhat professional services are you interested in? Fix my existing phone system Fix my existing internet/network Fix my existing cameras Network cabling All other on site IT servicesAdditional details about the Professional Services you're looking for. I have read and agree to the Terms and Conditions By submitting this form, I authorize Connex Technologies, or its designated agent, to provide on site and remote professional and troubleshooting services and perform work on my equipment for the hourly rate discussed. Previous Submit Form
