Proformat Plug Quotation

Proformat emediaPractice Quotation

Fill in your details. We will prepare a quote for your review. We won't contact you unless you request it.

Standard Plug installed with 1 Tera capacity: 5000.00 (We come and install)

(Additional capacity available if required. The average is 2gig/patient for 50 years)

Clinic's full name
Your name First Last
Your email
Clinic's acronym (6-char max)
Clinic's admin email
Clinic's business email
Clinic's email relayhost
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Business phone - (###) - ### ####
Time zone
Number of providers
Number of patients
Number of computers connected to the router (wired or wireless)
SSL certificate required (additional cost) yes no
Support and Backup service required yes ($100.00/month/provider) no
Local Business Continuity required yes ($500.00 for additional plug and setup) no
Remote Business Continuity required yes ($100.00/month) no
Dynamic DNS required yes no
Backup start period (AM) HH
Backup end period (AM) HH
Router model
Connection type
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