Call Consistacom Support at 906-482-7689 if you need assistance completing this form.

Services are provided using a VPN between the Customer's data network and Consistacom.

• All information on this form and obtained from Customer's network is protected by confidentiality pledges in the Remote ACD Auditing Agreement
• The Consistacom VPN peer address is dcvp.consistacom.com
• The Consistacom VPN Peer firewall is a SonicWall appliance running Enhanced OS 3.2
• Connections between the Consistacom data collection Synchronization Controller and the customer's ACD are always initiated by Consistacom
• The Synchronization Controller always establishes 2 concurrent connections to the ACD, using the same customer-assigned ACD public IP address and login ID

Customer Business Name
Customer ordering team member	Name:    Phone:    E-mail:
Customer Remote Service Implementation Contact (Will assign login IDs and trouble shoot ACD login problems)	Name:    Phone:    E-mail:
Customer VPN Implementation Contact (Network technician that will do the actual implementation, someone Consistacom can work with if VPN configuration fails)	Name:    Phone:    E-mail:
VPN Due Date (MM/DD/YYYY)
IPSec Keying Mode	IKE Using Preshared Secret
Customer IPSec VPN peer address
Customer IKE ID	Use the peer IP address Custom:
Shared Secret (case sensitive)	Will be exchanged verbally with VPN Contact for security
Customer Destination Networks	Only allow individual ACD addresses from next page Network address range(s):
IKE (Phase 1) Proposal
Exchange
DH Group
Encryption
Authentication
Life Time (seconds)
IIPSec (Phase 2) proposal
Protocol
Encryption
Authentication
Enable Perfect Forward Secrecy (PFS)	(Note: only recommended for pure SonicWall VPNs)
DH Group
Life Time (seconds)	(Should be <= Phase 1 life time)

Send this completed form to serviceorders@consistacom.com or FAX to 906-483-0950

Allowed Customer Network Destinations

If the VPN is only allowed to access individual Customer IP addresses (instead of subnet ranges), enter those addresses here and check the "Only allow individual ACD addresses" box on the other page.

When individual destinations are specified here, only those addresses will be allowed access from the VPN. The alternative is to allow access to one or more subnet ranges specified on the previous page. Adding more individual addresses later will result in a VPN Setup Change Charge

Avaya ACM Switch / host common name	Public IP Address (0.0.0.0 format)	TCP Port (5023 is standard)