Please complete the brief questionnaire below, and a VoiceStream representative will contact you with more information about our business rate plans.

* Indicates required information.

Company Name*
First Name*
Last Name*
Address 1*
Address 2
City*
State*
Zip Code*
E-mail Address
Phone Number* (e.g. 2223334444)
Comments
1. Do you currently have wireless service? Yes No
2. If Yes, what types of wireless devices do you own?
    Phone Pager Radio/Nextel phone
3. How many wireless phones do you own? phones
4. Are you currently in a wireless phone contract? Yes No
5. How long until your contract expires with your current wireless phone service provider?
   
6. Who at your company makes wireless phone purchasing decisions?
   
7. What are the 5 most important aspects that you look for from a wireless phone?
   Billing options
  
Cost
  
Coverage
Customer Service
Data capability
E-mail
Phone size/weight
Text messaging
Voicemail
8. When are you looking to purchase (new) wireless service?
   
9. How would you characterize your business?
   
10. Is your business considered Fortune 1000?
    Yes
    No
11. In which state(s) do you conduct business?
     To select multiple state names, press the 'Ctrl' (control) key, scroll through
the list, and then click on the state name.
12. In which industry is your business?
    
13. Additional Comments:
    

Thank You!