| Tell us about yourself |
| E-mail Address: * |
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| Re-enter your e-mail:: * |
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| Salutation: * |
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| First/Given Name: * |
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| Last/Family Name: * |
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| Title: |
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| Company Name: * |
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| Mailing Address: * |
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| City: * |
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State/Province:
(for the USA and Canada) |
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| Zip Code/Postal Code: * |
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| Country: * |
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Telephone (with area code): *
(digits only, for international locations - include country code first) |
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Fax (with area code):
(digits only, for international locations - include country code first) |
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URL:http:// |
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| What business are you in? |
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| 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: |
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| 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: |
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| We provide technical training, post-sale support - would they be of interest to you? |
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| How would you prefer to be contacted to discuss the project? |
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| Would you like for us to do the turn-key installation? |
Yes No |
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| Do you have brand preferences? |
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| Is this a new system or upgrade of an existing system? |
New System Upgrade |
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| If existing system, what equipment is in use now: |
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| System Data |
| System Purpose: |
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| System Type: |
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| If "Other" - explain: |
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| Number of users (Portable, Mobile, Base, Repeaters, Hubs, Remote Users, if any): |
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| For Data or Voice system, specify required Data Rate, kbps: |
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| System Configuration: |
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| Operating frequencies: |
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| If "Other" - provide frequency: |
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| Number of frequencies/channels: |
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| Maximum communication distance: |
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| Power Source requirements: |
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| Do you need a permit for radio frequencies for this system? |
Yes No |
| Information About Sites |
| Elevation above average terrain: |
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| Terrain description (i.e. rural, city, mountainous, existing obstructions, antenna installation restrictions, etc.): |
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| Special Climate/Weather Considerations: |
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| Is site survey required for antenna installation? |
Yes No |
| Tower(s) Height and Location: |
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| Antenna(s) Type (Omni, Directional) and Transmission line length (approximately): |
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| Multicouplers or Combiners (number of channels), if any: |
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| Additional Information |
| What is your budget for this project (in US Dollars)? |
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| 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: |
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| What are your deadlines for Proposal/Quotation? |
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| Proposed Implementation Date (MM/YY): |
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| 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? |
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Your Message: *
In your own words, please describe to us your goals, requirements and expectations for this communication system.
THIS IS MOST IMPORTANT!
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| * - required fields |
| Thank you for your time. |
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