Vendor TAF Vendor InformationCompany Name(Required)Contact Name(Required) First Last Phone(Required)Vendor Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands How Can We Reach You?Preferred Method of ContactEmailPhoneVendor Email Address(Required) Email Address Confirm Email Address Vendor Phone(Required)Email address to open trouble tickets?(Required)Email address for sales/account manager?(Required)Email for billing/ receivables?(Required)Which Teliax product are you requesting?(Required)Toll Free CompensationDomestic ConversationalDomestic DialerInternational ConversationalInternational DialerFlat RateCallAIToll Free InboundWholesale InboundI’m not sureAny other requirementsHow many channels (ports, concurrent calls) are available?(Required)What is the Calls Per Second (CPS) limitation?(Required)In which format should we send domestic calls?(Required)Not applicable- None+1NPANXX- +1NPANXX1NPANXX- 1NPANXXNPANXX- NPANXXIn which format should we send international calls?(Required)Not applicable- NoneCC- CC+CC- +CC011CC- 011CCHow will you send domestic calls? (Domestic dialing rules)NPANXXXXXX1NPANXXXXXXE.164(+1NPANXXXXXX)This doesn’t applyHow will you send International calls? (International dialing rules)CC-AC-NUM011-CC-AC-NUM+CC-AC-NUM11CC-AC-NUM00CC-AC-NUMThis doesn’t applyTechnical prefix, if so requiredWhat are your SIP Signaling IP addresses?(Required)Teliax does not filter or require media/ RTP Ips—please include SIP only.Notes or special configuration options:SignatureTyping in your name and date into the following boxes indicates that you have completed this form to the best of your ability and that you are authorized to complete this from on behalf of the company that is requesting service.Signature Full Name(Required)Signature Date(Required) Month Day Year