Internet Post Appointment Form Internet Post-Appointment Form (new) Customer Name* Address Technician Name* Appointment Type New Internet Installation Customer Equipment Upgrade / Repair VOIP Installation Mitec Equipment Repair / Trouble-ticket Other Internet Type: Wireless MDU (Multi-Dwelling Unit) LTE Did you change the tower in splynx? Yes Ill do it right now What work was performed?Explain Other Was this appointment billable?* Billable Non-Billable Billable/Non-billable FieldsHow many hours? Invoice NotesEquipment UsedRepair / Trouble-ticketTicket Number What was the cause of the issue?*What was implemented to avoid the same issue in the future?*Link to Photos Photos Drop files here or Select files Max. file size: 200 MB. Appointment MiscWas the appointment successful?* Yes No Is any follow-up required?* Yes No Follow-up Details*Equipment Upgrade FieldsWhat Work was Performed*Speed test results Other / Internal NotesTower Location Untitled Link to Photos Upload any photos Drop files here or Select files Max. file size: 200 MB. Wireless / MDU / LTENew SIM Card # Old SIM Card # Speedtest results* Did this customer receive a static ip? Static IP Static IP Address Subnet Mask Default Gateway Wireless Network Name Wireless Network Password Location of Router and POE injector* If wireless network or router is N/A please add details below to further explain why we did not need to install:Property Name Unit Number Type Of Service VDSL Port Number Cable Number Pair Number Modem Serial Number AirControl CPE Added to correct UNMS Site Yes Added correct Tower in Splynx Yes Router Installation Used customer supplied router ($0.00) Madera Modem LTE Modem TP-Link AC1200 Installed TP Link Router ($64.99) Installed Mikrotik HEX Router ($79.99) TP link Deco M5 Installed Mikrotik HAP Router ($94.99) Installed Aircube Router ($99.99) other Quantity Used1234Other Router Installation Equipment LTU LR LTU Pro Ubiquiti AirFiber 5XHD Rocket Dish LW Rocket AC Lite Rocket Prism LiteBeam AC Gen2 Ubiquiti NanoSwitch Ubiquiti PowerBeam 2.4 Mount used J arm mount Channel J arm mount Non-pen roof mount Mimosa Non-Pen none other if other, please describe Why couldn’t we install service?* Equipment usedWas this a simple set up? Yes No Please put any important details about the set up.Images of finished installation Drop files here or Select files Max. file size: 200 MB. VOIP InstallationHow many phones / users were set up?*What phone hardware was used?Number of web faxesNumber of fax linesDid you show client how to send & receive web faxes?YesNoDid you have to run ethernet to phone or fax?*NoYesDid you install Elevate UC App on all computers / smartphones available?*YesNoList any additional hardware usedNumberNumber
