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Extron electronics MAAP Active Modules VCM 100 MAAP Specification Sheet page 10

Active modules for audio buffering, video line driving, twisted pair transmission, control and power output

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CCr 306 engrAving Order FOrM
Simply photocopy this form, complete the information needed and fax with your purchase order.
You may also download a PDF version of this form at www.extron.com/engraving. Feel free to call us for assistance.
Company name:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Contact name:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Phone #:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Fax #:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Part #:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Quantity:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Customer PO #:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Pleasenote: Numbers on buttons shown in the above illustration are for
reference only to assist those filling out this engraving form. Buttons on actual
product will be blank.
1
1
1
1
Extron so #:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Engineering reference #:
sales representative:
Europe
Europe
Dubai
Dubai
+31.33.453.4040 / +800.3987.6673
+31.33.453.4040 / +800.3987.6673
+971.4.2991800
+971.4.2991800
+31.33.453.4050 FAX
+31.33.453.4050 FAX
+971.4.2991880 FAX
+971.4.2991880 FAX
CCr306 EngrAvIng OrdEr FOrM
header character size is .1"/2.5 mm high by 20 characters wide.
button character size is .08"/2 mm high by 6 characters wide.
buttOn 1
Characters through
6
1
buttOn 4
Characters through
6
1
Footer character size is .1"/2.5 mm high by 20 characters wide.
FAx COMPlEtEd FOrM wIth YOur OrdEr tO: 714.491.1517
For Extron IntErnal usE only
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Asia
Asia
+65.6383.4400 / +800.7339.8766
+65.6383.4400 / +800.7339.8766
+65.6383.4664 FAX
+65.6383.4664 FAX
hEAdEr
X X X X X X X X X X X X X X X X X X X X
X X X X X X
X X X X X X
hEAdEr
Characters through
buttOn 2
Characters through
6
1
buttOn 5
Characters through
6
1
FOOtEr
Characters through
China
China
+86.21.3760.1568 / +400.883.1568
+86.21.3760.1568 / +400.883.1568
+86.21.3760.1566 FAX
+86.21.3760.1566 FAX
c u s t o M e n g r A v i n g s e r v i c e s
buttOn
X X X X X X
X X X X X X
1
2
3
X X X X X X
X X X X X X
4
5
6
X X X X X X X X X X X X X X X X X X X X
FOOtEr
20
buttOn 3
Characters through
6
buttOn 6
Characters through
6
20
Japan
Japan
+81.3.3511.7655
+81.3.3511.7655
+81.3.3511.7656 FAX
+81.3.3511.7656 FAX
70%
actual
size
217

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