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Installation/Training Request
If you need someone to support you with phone installment and/or provide in-person training at your home or office at no charge, fill out the information below.
Choose one:
*
New phone installment and training
Technical support or troubleshooting
Phone re-training
Replacement phone installment and/or training
Your Name:
*
Do you have an analog telephone line (landline)?
*
Yes
No
Do you have a high-speed Internet?
*
Yes
No
If yes, what type of high-speed Internet?
VoIP
DSL
Digital cable phone service with digital filter
What CapTel model do you currently have?
*
CapTel 2400i
CapTel 880i
CapTel 840i
CapTel 840
Email Address:
*
Phone Numbers:
*
Please select type of Contact - select multiple options
Type of Contact:
Phone
CapTel
Videophone
TTY
Address:
*
Street Address Line 2:
City:
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Zip Code:
*
Brief Description of Your Request:
Best way to contact you
*
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Verification
*