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To receive a quote by the end of the next business day, please take 5-10 minutes to complete one of the forms below. Be sure to fill in all fields unless otherwise noted as optional. To speak with an account manager call (1)800-800-1280, ext. 1. or (1)440-246-6999, for those outside the US and Canada.

Monitoring Pre-Quote Information Form To best respond to your quote request please answer all questions unless indicated as optional. Please tell us about yourself. Company  Name  Title  Address  City  State/Province  Alaska Alabama Arkansas Arizona Alberta British Columbia California Colorado Connecticut Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana Manitoba North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York New Brunswick Newfoundland North West Territories Nova Scotia Ohio Oklahoma Oregon Ontario Pennsylvania Prince Edward Island Quebec Rhode Island South Carolina South Dakota Saskatchewan Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Yukon Country  USA Algeria Andorra Anguilla Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belarus Belgium Belize Bermuda Bolivia Bosnia Herzegovina Brazil Brunei Darussalam Bulgaria Cambodia Canada Cayman Islands Chile China Prc Colombia Costa Rica Croatia Cyprus Czech Republic Denmark Dominica Dominican Republic Ecuador Egypt El Salvador Estonia Fiji Ethiopia Faroe Islands Finland France French Guiana French Polynesia Gabon Georgia Germany Ghana Gibralter Greece Greenland Guadeloupe Guam Guatemala Guyana Honduras Hong Kong, China Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kuwait Laos Latvia Lebanon Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malaysia Maldives Malta Mauritius Mexico Micronesia Moldova Monaco Morocco Myanmar Namibia Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Northern Ireland Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Saint Lucia San Marino Saudi Arabia Senegal Singapore Slovak Republic Slovakia Slovenia South Africa South Korea Spain Sri Lanka Sweden Switzerland Taiwan Roc Thailand Tonga Trinidad Tobago Tunisia Turkey Ukraine United Arab Emirates United Kingdom Uruguay USA Uzbekistan Venezuela Vatican City Vietnam Yugoslavia Zambia Zimbabwe ZIP/Postal Code  Phone  Fax  Email  Today's date:  Quotation needed by  1. Will you communicate with your monitoring system using SNMP? Yes No If not using SNMP then select any number of these: RS232 TL1 Modem Dial-Up Ethernet 2. Do you want a local display? Yes No 3. What will you be monitoring? Number of analog inputs? (e.g. plant voltage, plant current, battery voltage) Number of binary inputs? (e.g. power major, power minor) Number relay outputs? (e.g. Form C output alarms) 4. Will you be monitoring temperature? Yes No If Yes... Number of ambient temperature inputs? Number of battery temperature inputs? 5. Is UL required? Yes No 6. Will you use this monitoring system in conjunction with a Emerson Network Power system? Yes No If Yes... What is the specification number of the power system? 7. Is there a product spec # or specific product on which you want this quote to be based? No Yes 8. Preferred delivery date? 9. How many units are you requesting at this time? 10. How many units do you plan on ordering in the next 12 months? (optional) 11. If there is any additional information that will help us prepare your quote, please indicate below. (optional) 12. To help us route your information to the appropriate account management team, please indicate your market segment: CLEC/IXC/CATV ILEC Distributor/VAR OEM Wireless Canada Outside U.S. and Canada Not Sure / Other

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