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Order Form for Viking Model LRT-4 Long Range Transmitters
CUSTOMER INFORMATION:
Date:
Contact:
Company:
Address:
City / State / Zip:
Phone:
LRT-4 TRANSMITTER AND PROXIMITY MODULE PROGRAMMING:
Quantity:
Facility code (2-254):
First Internal (programmed) transmitter and proximity module
number (00001-65534):
First External Transmitter number:
or No External Transmitter Number, check box:
Signature:
Fill out entire form;
scan and email to:
orders@vikingelectronics.com
or fax to: 715-386-4344
Due to the dynamic nature of the product design, the information contained in this document is subject to change without notice. Viking Electronics, and its affiliates and/or subsidiaries
assume no responsibility for errors and omissions contained in this information. Revisions of this document or new editions of it may be issued to incorporate such changes.
DOD 226
Please fill out the following form and return it to your Viking
distributor or email it to orders@vikingelectronics.com
IMPORTANT: PROGRAMMED TRANSMITTERS ARE
NON-CANCELABLE AND NON-RETURNABLE
Distributor PO#:
Printed in the U.S.A
Fax:
(Internal Use Only)
File Name:
Notes:
4
Quick Definitions:
Facility code: A 3-digit number
that each transmitter and proximity
module contains in order to provide
greater security. Usually the
transmitter used at a given building
all have the same facility code.
Internal Transmitter and Proximity
module number: A 5-digit number that
each transmitter contains. This
number must be programmed in
the transmitter by Viking Electronics
External Transmitter Number: The
number that is printed on a label and
placed on the back side of each
transmitter.
ZF303900 REV A
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