VISION - Materials Request Form
Sales Manager
Your Name
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First Name
Last Name
Items Requesting
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Sales Materials
Office Supplies
Equipment
Delivery Method
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UPS Ground
Pickup from Corporate
Require Signature on Delivery
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Yes
No
Pickup Date
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Month
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Day
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Country
Phone Number
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Area Code
Phone Number
E-mail
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Sales Materials
New Rep Packets (Includes Shirts, Hat and ID Badge)
Name
Rep or Tech
Shirt Size
Hat Size
ID Badge (Y/N)
1
2
3
4
5
6
7
8
9
10
If additional reps need any items please list here in the same format as above
Sales Hats
Small/Medium (6 7/8 - 7 1/4)
Large/XL (7 1/4 - 7 5/8)
White
Selling Location (State)
Paperwork
Amount Needed
Form A
Form B
Form C
Welcome Packets
PreQual
Other Items and Details
Office Supplies
List ALL items needed
Equipment
Brand Needed
GE
2GIG
ALARM.COM
GE Equipment
On Hand
Need
22/4 SOLID WIRE (TRI-224SLD5CRLWH)
DSL FILTER (PLS-ZA431PJ31XA)
GE CARBON MONOXIDE SENSOR (GEC-8300011)
GE CONCORD 4 HARDWIRE PANEL (GEC-800-951-4)
GE CONCORD EXTRA KEYPAD (GEC-60820)
GE D/W CONTACT (GEC-60-362N-10-319.5)
GE FLOOD SENSOR (GEC-6074495R)
GE FREEZE SENSOR (GEC-6050410-319.5)
GE GARAGE DOOR SENSOR (GEC-TX8010-01-1)
GE GLASSBREAK (GEC-60-873-95)
GE HEAT DETECTOR (GEC-604603195LD)
GE INTEREGATOR AVM (GEC-60-677)
GE KEY FOB (GEC-TX-4014-01-2)
GE KIT XT + TOUCH )GEC-600105495RSUM4T)
GE MEDICAL PENDANT (GEC-60-906-95)
GE MOTION SENSOR (GEC-60-807-95R)
GE PHONE INTERFACE W/VOICE (GEC-60-777-01)
GE POWER HORN (GEC-13398)
GE RECESSED DOOR CONTACT (GEC-TX1510011)
GE REPEATER (GEC-809221)
GE SIMON XT (GEC-600105495RSUM4)
GE SIMON XT TALKING TOUCHPAD (GEC-60-924-3-XT)
GE SMOKE DETECTOR (GEC-TX-6010-01-1)
GE TOUCH SCREEN (GEC-609243XT2WTTS)
GE TRANSLATOR (HARD WIRE) (GEC-13-551)
GE TRANSLATOR (WIRELESS) (GEC-13-552)
GE TRNSLTR (TRANSFORMER) (GEC-13-553)
GE WALL FOB (GEC-RF3030-01-1)
SIMON XT BATTERY (QSD5731)
TRI-ED CONCORD BATTERY (TRI-BD124)
TRI-ED CONCORD SIREN (TRI-20WD)
HOME CONNECT POLISHED BRASS DEADBOLT (KWK-9900004)
HOME CONNECT SATIN NICKEL DEADBOLT (KWK-9900005)
HOME CONNECT VENETIAN BRONZE DEADBOLT (KWK-9900006)
GE TO 2GIG TRANSLATOR (Wireless) (RES-RE224GT)
DSC TO 2GIG TRANSLATOR (Wireless) (RES-224DT)
DSC TO GE TRANSLATOR (Wireless) (RES-RE224DG)
YARD SIGNS - SECURITY NETWORKS (50 PACK)
STICKERS - SECURITY NETWORKS (100 PACK)
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Option 1
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2GIG Equipment
On Hand
Need
2GIG ANTENNA 10FT (2GIG-ANTX2)
2GIG ANTENNA 2FT (2GIG-ANT1X)
2GIG VERIZON GSM Radio (2GIG-GCCDMV-A)
2GIG CARBON MONOXIDE (2GIG-CO3)
2GIG DOOR WINDOW (2GIG-DW10)
2GIG EXTRA KEY PAD-NON TOUCH(2GIG-PAD1)
2GIG GLASS BREAK (2GIG-GB1)
2GIG KEYFOB (2GIG-KEY2-345)
2GIG LAMP MODULE (2GIG-Z-LPM)
2GIG MEDICAL PENDANT (2GIG-PANIC1)
2GIG MOTION (2GIG-PIR1)
2GIG PANEL GO CONTROL (2GIG-CNTRL2)
2GIG RECESSED D/W (2GIG-DW20R)
2GIG REPLACEMENT BATTERY-PANEL (2GIG-BATT1)
2GIG REPLACEMENT POWER SUPPLY (2GIG-AC1)
2GIG SMOKE AND HEAT DETECTOR (2GIG-SMKT3-345)
2GIG TAKEOVER MODULE (2GIG-TAKE)
2GIG WIRELESS SECONDARY TOUCH SCREEN (2GIG-TS1-EKIT)
2GIG ZWAVE THERMOSTAT (2GIG-Z-STAT)
2GIG GARAGE DOOR ACCESSORY RECEIVER (2GIG-GDR1-345)
ALARM.COM Equipment
Other
On Hand
Need
ADC FIXED INDOOR CAMERA (ADC-V510)
ADC FIXED INDOOR CAMERA - NIGHT VISION (ADC-V520IR)
ADC IMAGE SENSOR (600-9400-IMAG-KIT)
ADC OUTDOOR CAMERA-WIRED (ADC-V700X)
ADC OUTDOOR CAMERA-WIRELESS (ADC-V700W)
ADC PAN TILT CAMERA (ADC-V610PT)
ADC POE INJECTOR (ADC-VPE)
ADC VIDEO SERVER (ADC-VS1)
ADC TWV RADIO For SIMON XT AT&T
ADC TWV RADIO For SIMON XT T-MOBILE
ADC TWV RADIO For SIMON XT VERIZON
ALARM.COM TWV RADIO for Concord T Mobile
ALARM.COM TWV RADIO for Concord ATT
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