RMI Radio Maintenance - Quote Request Form

Contact Information

First Name:

Last Name:

Company

Department:

Address:

City:

State: Zip:

Phone:

Fax:

Email Address

Quote Information

Type of Business:

Coverage Needed:
(Check all that apply)

	On-site		Wide Area Coverage
	Less than a mile		National Coverage
	1-5 miles

Equipment or Services Needed:
(Check all that apply)

	Able 2		Alarm Processors
	Antennas		Batteries
	Carrying Cases		Chargers
	Code 3		CommtechWireless
	Dispatch Consoles		Earpieces
	Federal Signal		Headsets
	Icom		IMPRES
	Kenwood		Light Bars
	Microphones		Motorola
	Other Two-Way Radios		Pagers
	Paging System Accessories		Paging Systems
	Repeaters		Scada
	Sirens		SpectraLink
	Surveillance		Telemetry
	Two-Way Mobiles		Two-Way Portables
	TX RX Systems		United Communications
	Vertex Standard		Whelen
	Wireless Telephone Systems		Zetron

When do you plan to implement wireless communications into your business?

Immediately
Less than 2 months
3 to 6 months or more

Please include quantity, product numbers and product names for the equipment you would like quoted. (One product per line please)
For an accurate quote for add-ons, we need your exact model number (i.e. P94ypcooA42 instead of P1225).

Note / Comments: