Client Contact InformationPlease enable JavaScript in your browser to complete this form.Company Name *Please list all affiliated companies, if applicable.During Business Hours Contact Information (Monday-Friday 8:00am-5:00pm) LayoutPrimary Point of Contact *FirstLastPhoneEmail *Preferred Form of ContactPhoneEmailSecondary Point of Contact *FirstLastPhone Email *Preferred Form of Contact PhoneEmailDo you want to be notified after-hours (M-F 5pm-11pm & Sat 9am-5pm) of urgent technical issues?YesNoIf no, NCS will contact you at the beginning of the next business day to inform you.After Business Hours Contact Information(Monday-Friday 5:00pm-11:00pm & Saturday 9:00am-5:00pm)Layout (copy)Primary Point of Contact *FirstLastPhone (Cell Phone Preferred) Email *Preferred Form of Contact PhoneEmailSecondary Point of Contact *FirstLastPhone (Cell Phone Preferred) Email *Preferred Form of Contact PhoneEmailMaintenance Information NCS may need to preform preventative maintenance to your devices. During the maintenance, you may experience network outages. We would like to do this maintenance at the most convenient time for your company. Below, you can select a preferred maintenance period. We will perform any required maintenance during the period selected. If a maintenance period is not selected, then these outages may occur at a time that is not convenient for you.LayoutDay of the Week (Select all that apply):MondayTuesdayWednesdayThursdayFridayTime of Day (Select all that apply):5:00pm-6:00pm6:00pm-7:00pm7:00pm-8:00pm8:00pm-9:00pm9:00pm-10:00pm10:00pm-LaterSpecific Requests:Submit
