- Customer's Name - 
         
General Site Survey
       
  Note: Only enter data in colored boxes  
     
  General Site Information  
  Company      
  Location Name          
  Street Address          
  City          
  ZIP Code          
  Country          
  Main Phone #          
  Main Fax #          
  Telecom Room Location         
  Floor #          
  Operational Hours        
  Special Access Requirements        
       
  Site Contact List  
    Contact 1 Contact 2 Access Desk  
        (24 Hour Security)  
  Surname          
  First Name          
  Title          
  Telephone #          
  Pager #          
  E-Mail Address          
  Fax #          
  Mobile #          
     
     
   
                                                         Site survey     
  Performed by:   Date :        
 
                                              Primary Business purpose