First Name:	*	Last Name:	*
Company:		Email:	*
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Rental Start Date:		Rental End Date:
Event Name:		Event Location:

Equipment needs:

Two-Way Radios Select No Preference VHF UHF UHF LTR 800 MHz 900 MHz IS Satellite Phone Qty Nextels Select No Preference DirectConnect Only (DC) DC w/Group Call DC w/Cellular DC w/Group Call & Cellular Qty Base Stations Select No Preference VHF UHF UHF LTR 800 MHz 900 MHz Qty Repeaters Select No Preference VHF UHF UHF LTR 800 MHz 900 MHz Qty Earphones Select Standard (W/O Vol. Control) Deluxe (W/ Vol. Control) Surveillance (Radio Only) Qty

Remote Speaker Mic Select Standard (Without Earphone) Deluxe (With Earphone) Qty Headsets Select Lightweight - Single Ear Medium Weight - Single Ear Behind the Head - Single Ear Heavy Duty - Double Ear Qty Spare Batteries: Qty Broadband PC Cards Select USB PC Card PCMCIA PC Card Qty Mobile Wireless Routers Select Mobile Router Only Mobile Router w/ PC Card Qty

We will recommend the number of multi-chargers or single chargers based on your request and include them with your quote.

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