Custom Handsets "*" indicates required fields LinkedInThis field is for validation purposes and should be left unchanged.Customer InformationContact NameCompany NameAddress Address 1 Address 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Zip PhoneFaxEmail* Handset ApplicationPlease specify the manufacturer and model number of the equipment with which this handset is to be used.Equipment ManufacturerEquipment Model NumberIs a handset currently being used in this application? If so, please state the handset shape.G Style = RoundK Style = SquareF Style = OtherMicrophone CharateristicsPlease specify whether you need a noise-canceling mic and then specify the type of mic (carbon-equivalent, electret or dynamic) that you need for your application.Noise-Canceling Yes No Mic Type Carbon-equivalent Electret Dynamic ConfigurationForester Solutions offers a variety of configurations. Please specify your preferred configuration below. W3 Standard Non-Amplified W6 Standard Amplified Receive PTT - Push to Talk (4K), PTM - Push to Mute (4K), PTS - Push to Signal (6K) W7 Amplified Transmit (Outgoing Volume) W8 Standard Amplied Received with either PTT, PTM or PTS Other (Please Specify)ConnectorPreferred Connector Modular No Cord Hardwired If hardwired, what type of plug? Spade Clips 2 Prong Modular Cable LengthPlease specify the length of cable that you would like the handset to have. 6 Feet 9 Feet 12 Feet 15 Feet 25 Feet Miscellaneous RequirementsPlease describe below any additional requirements that this handset must meet. Also, feel free to include any comments you may have concerning this worksheet and how we might improve it to better suit your needs.
