E Rate Brochure

E Rate Filing Check List
Please provide as much information as possible

Official Grantee or School Name
(Entity that pays the bills)

Street Address

City, State, ZIP

Phone

Fax

# Of Locations
(include all administrative & school locations)

Services Info

Est. # of Phone Lines

Est. # of Cell Lines

Type Internet Access

Web Hosting Service (Y/N)

Email Service (Y/N)

Internal Networking Equipment and Maintenance Needs - Please Describe

Est. Budget Info

Telephone

Internet

Hardware/Software

Maintenance and Support

Professional Development

Contact Us

Executive Name/Title

Executive Tel #

Executive Email


IT Contact Name/Title

IT Tel #

IT Email


Billing Contact Name/Email

Billing Contact Tel #

Billing Contact Email