Nomination Form

Thank you for your interest in Total Communications Makeover, brought to you by Optimus Solutions and Cisco. We're very excited to be giving away up to a $100,000 Total Communication Makeover to one lucky Georgia organization. Please fill out the contest entry form below to submit your nomination.

1. Company Information

*Company Name
*Address Line 1
Address Line 2
*City
*State
*Zip Code
*Industry
*2006 Revenue
*# of Employees

2. Contact Information

*First Name
*Last Name
*Title
*Phone Number
*Email Address
*Verify Email

3. Please tell us about your current environment

*What PBX system do you currently use?
*How old is your current PBX system?
*How many handsets do you have in the State of Georgia?
*How many remote locations does your company have?

4. Please tell us why you should win a Total Communications Makeover

*What communications challenges does your business currently face?
*How would a Total Communications Makeover impact your organization?

I have read and agree to the stated Terms and Conditions.

Win a $100,000 Total Communications Makeover!

Nomination Form