NOTE TO PARTNER: Please complete the gray-shaded sections and return the completed form to your account manager
CORPORATE
Company name Address City State/Province Country Postal Code Main Telephone Number Contact name Business Phone Fax Number IM: E-Mail Address Contact name Address City State/Province Country Postal Code Business Phone Fax Number E-Mail Address E-Mail Address Contact name Business Phone Job Title E-Mail Address Cell Phone Grid4 Communications, Inc. 2107 Crooks Road Troy Michigan USA 48084 248-244-8100
ACCOUNT MANAGER
Michael Hopkins 248-918-2864 248-244-9400
[email protected] [email protected]
FINANCE & BILLING
Revenue Assurance, Attn: Michael Gleason 2107 Crooks Road Troy Michigan USA 48084 248-244-8100 248-244-9400
[email protected],
[email protected] [email protected],
[email protected]TECHNICAL & PROVISIONING
Marc S. Hopkins 248-244-8100 / 248-244-8100 Sr. Vice President
[email protected]248-789-8873
Grid4 ESCALATION LIST
1st Level Contact Contact: Title: Phone: Email: Contact: Title: Phone: IM: Email: Contact: Title: Phone: IM: Email: Contact: Title: IM: Email: Phone: Network Operations Center Duty Analyst 248-244-8100
[email protected]2nd Level Contact (after 2 hours): Tim Riendeau VP IP engineering 248-244-8100
[email protected]3rd Level Contact (after 4 hours): Marc S. Hopkins Sr. Vice President 248-244-8100
marc_hopkins_grid4@h otmail.com [email protected]
4th Level Contact (after 12 hours) Marc S. Hopkins Sr. Vice President
[email protected] [email protected]
248-244-8100
Updated 4/26/2007
GENERAL INFORMATION
Interconnect Type National Dial Format International Dial Format CDR Timezone CDR Exchange Format Escalation List Attached? Grid4 Communications VoIP area code + number cc + area code + number EST .csv (comma-delimited text) Yes (see "Contact Info" sheet) Partner
TDM INTERCONNECT INFORMATION
Grid4 Communications Switch/Gateway Manufacturer Switch/Gateway Model Interconnect Location Trunk Type Trunk Quantity Trunk Framing Trunk Coding Trunk Interface Trunk Signaling Echo Cancellation Partner
SS7 SIGNALING INFORMATION
Grid4 Communications ANSI SPC (SS7) CLLI CODE National Indicator A-Link Provider CIC Assignments Hunt Sequence Glare Control COT Partner
ISDN SIGNALING INFORMATION
Grid4 Communications Is NFAS supported? Primary D-Channel Assignment Secondary D-Channel Assignment Hunt Sequence Partner
VOIP INTERCONNECT INFORMATION (SIP / H323)
Internet or Direct Connect? Softswitch Manufacturer (Retail) Softswitch Manufacturer (Wholesale) Gatekeeper in use? Gatekeeper Manufacturer Gatekeeper Model Gatekeeper IOS H.323 ID H.323 Zone Gateway Manufacturer Gateway Model SIP/H323 1 Server IP Address(es) SIP/H323 2 Server IP Address(es) SIP/H323 Nextone IP Address(es) Session Border Controller SIP PORT H323 PORT Tech Prefix Signaling H.323 Fast Start Supported? H.245 Tunneling Supported? H323 DTMF Type CODECs Supported Fax Support Grid4 Communications Internet MetaSwitch MetaSwitch Partner
63.209.135.28 SIP
NextPoint
SIP
g.729, g.723
ADDITIONAL REMARKS
