Contact HSIA Sales

For information regarding obtaining High-Speed Internet Access (HSIA) through LodgeNet at your property, please complete and submit the information below and a representative will contact you within 48 hours.  If you have any questions regarding this form, please feel free to call 1-800-367-0050 Ext. 1434.

* =  required field

Contact Information
*Contact Name - Full Name
*Title
*E-Mail Address
*Name of Hotel
LodgeNet Site Number (if known)
*Address of Hotel
*City
*State	*Zip
*Phone Number    Fax Number
Hotel Website  (www.hotel.com)
*Management Company Name
Property Information
*Number of Guest Rooms
*Number of Meeting Rooms
*Number of Buildings
*Number of Floors
Building Layout (Select only one)	"L" Shape Golf / Resort Layout "U" Shape Long Layout High Rise with Atrium High Rise without Atrium Multi-building Campus
Property Construction Details
Physical Structure (check all that apply)	Physical Structure Steel Frame Poured Concrete Wood Cinder Block Aluminum
Wall Materials (check all that apply)	Wall Materials Drywall Concrete Concrete every other wall Wood Plaster Mirror
Ceiling Materials (check all that apply)	Ceiling Materials False/Drop Drywall Concrete Stucco Plaster Metal
Floor Materials (check all that apply)	Floor Materials Concrete Reinforced Concrete Wood Metal
Room Entrance (check all that apply)	Room Entrance Interior Exterior

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HSIA Method Desired for Guest Rooms
Wired
Desired Number Guest rooms
Transport Technology (select only one)	Cat-5 Pre Wired DSL (via phone system) Cable Modem (via coax distribution/TV)
If DSL selected -- Number of rooms with two or more phones
If Cable Modem selected -- Measuring along the walls, distance from TV jack to desk	feet
Wireless
Type of Access Point (select only one)	Economical Commercial Grade Enterprise Grade
HSIA Method Desired for Meeting Rooms
Wired
Number of meeting rooms
Number of jacks
Infrastructure (select only one)	Pre Wired LodgeNet to wire
Wireless
Number of meeting rooms
Total estimated square footage
Type of Access Point (select only one)	Economical Commercial Grade Enterprise Grade
HSIA Method Desired for Public Areas (Lobby, Pool, Dining Area, etc.)
Wired
Number of Public Areas
Number of jacks
Infrastructure (select only one)	Pre Wired LodgeNet to wire
Wireless
Number of Public Areas
Total estimated square footage
Type of Access Point (select only one)	Economical Commercial Grade Enterprise Grade
HSIA Desired for Back Office/Administration Areas
Number of ports

Please add additional comments in the box.

Technical Information
Will you be using an existing Internet Connection	Yes   No
IF YES
Existing Circuit Speed
Existing Circuit Provider
Number of IP addresses assigned

Guest Services
Billing: Amenity to guest	Yes   No
Billing: Charge to guest	Yes   No
IF Charge to guest    (select all that apply)	Credit Card Bill-to-room Folio
Need Bandwidth Control / Throttling	Yes   No
Need Wireless Bridges for Guests	Yes   No
Number of bridges needed
Interested in Guest’s ability to print	Yes   No
Existing Hardware Equipment and Network Information
Type of Existing Internet Hardware
Make
Model
Count
Estimated Number of users per day
Can you provide a Usage Report	Yes   No
Can you provide a Network Diagram	Yes   No
Can you provide a Site Map / Layout	Yes   No

Please add additional comments in the box.

Thank you for providing this information. Once you click Submit, this information will be forwarded to our Inside Sales Team and you can expect a response in 48 hours.