Tell us about yourself |
E-mail Address: * |
|
Re-enter your e-mail:: * |
|
Salutation: * |
|
First/Given Name: * |
|
Last/Family Name: * |
|
Title: |
|
Company Name: * |
|
Mailing Address: * |
|
City: * |
|
State/Province: (for the USA and Canada) |
|
Zip Code/Postal Code: * |
|
Country: * |
|
Telephone (with area code): *
(digits only, for international locations - include country code first) |
|
Fax (with area code):
(digits only, for international locations - include country code first) |
|
URL:http:// |
|
What business are you in? |
|
Want to receive product info in the future. |
Project Information |
Is this a project or bid solicitation (tender), or preliminary investigation? |
Project Bid Solicitation Preliminary Investigation |
My primary interest is: |
|
Are you the end-user or a system integrator/service provider? |
End-User Integrator |
Have you contacted other firms for the same? |
Yes No |
My authority for this project is: |
|
We provide technical training, post-sale support - would they be of interest to you? |
|
How would you prefer to be contacted to discuss the project? |
|
Would you like for us to do the turn-key installation? |
Yes No |
|
Do you have brand preferences? |
|
Is this a new system or upgrade of an existing system? |
New System Upgrade |
|
If existing system, what equipment is in use now: |
|
System Data |
System Purpose: |
|
System Type: |
|
If "Other" - explain: |
|
Number of users (Portable, Mobile, Base, Repeaters, Hubs, Remote Users, if any): |
|
For Data or Voice system, specify required Data Rate, kbps: |
|
System Configuration: |
|
Operating frequencies: |
|
If "Other" - provide frequency: |
|
Number of frequencies/channels: |
|
Maximum communication distance: |
|
Power Source requirements: |
|
Do you need a permit for radio frequencies for this system? |
Yes No |
Information About Sites |
Elevation above average terrain: |
|
Terrain description (i.e. rural, city, mountainous, existing obstructions, antenna installation restrictions, etc.): |
|
Special Climate/Weather Considerations: |
|
Is site survey required for antenna installation? |
Yes No |
Tower(s) Height and Location: |
|
Antenna(s) Type (Omni, Directional) and Transmission line length (approximately): |
|
Multicouplers or Combiners (number of channels), if any: |
|
Additional Information |
What is your budget for this project (in US Dollars)? |
|
Note: The budget figures will not be used to sell you the most expensive system. Rather, we need the information to stay within budget when making a proposal for your system, to meet your expectations. |
Projected funds availability: |
|
What are your deadlines for Proposal/Quotation? |
|
Proposed Implementation Date (MM/YY): |
|
We make leasing available to customers in North America and Europe. Would you be interested? |
Yes No |
Would you need complete detailed pricing on every component or would a budgetary price be sufficient at this point? |
|
Your Message: *
In your own words, please describe to us your goals, requirements and expectations for this communication system.
THIS IS MOST IMPORTANT!
|
|
* - required fields |
Thank you for your time. |
|
|

|
|
|