Open a Service Ticket

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First Name:
Last Name:
Organization:
Email:
Phone:
Address:
City:
ZIP/Postal Code:

All service requests submitted via this form will be answered between the hours of 8:00 AM-6:00 PM EST. For all after hours service issues, please dial 631-261-6900 press #1 and follow the prompts to connect to the on-call service technician for your area.

Do you currently have a service contract		Select Yes No
Phone Type		Select Mitel/Inter-Tel Cisco NEC/Nisuko Panasonic Telrad Ericcson Southwestern Bell 3Com Other I don't have a phone system
Are you a current Managed Services Customer?		Select Yes No
Are you an Allscripts Client?		Select Yes No
Please describe the nature of the problem

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