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Operator Support Required *

AT&T

T-Mobile

Verizon

Preferred Acquisition Model

Purchase (capex)

Cellular-as-a-service (opex)

Site Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Building Tenancy

Owned

Short-Term Lease

Long-Term Lease

Ceiling Type

Dropped Ceilings / Ceiling Tiles

Hard Ceilings

General Configuration

Single centralized IT facility

Distributed IT facilities

Is backhaul in place with at least 200 Gbs of capacity headroom?

Yes

No

Are all desired coverage areas within 500 ft of IT facilities with available rackspace?

Yes

No

Is available fiber in place between the backhaul circuit and identified IT facilities?

Yes

No

Is there a cabling path from the central IT facility to the roof?

Yes

No

Do all identified IT facilities have UPS or backup power?

Yes

No

Name *

First Name

Last Name

Phone *

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