AbeTech - RFID, Bar Code and Data Collection and Tracking Solutions

RFID Application Data Sheet
Contact Information
Company (Required):
Email Address (Required):
AbeTech Account Executive (Required)
Name (Required):
Street Address (Required):
City (Required):
State (Required):
Zip Code (Required):
Phone Number (Required):
Webpage Address:
Type of Business:
Internal RFID Knowledge Level:
Internal Middleware Integration Capabilities:
Internal Hardware Integration Capabilities:
RFID Pilot in process:
Hardware
EPC Mandate or Infrastructure:
	If Other
EPC Mandate (if applicable)
Mandate Client Name:
Tier 1, Tier 2, or Tier 3 Supplier:
Compliance Deadline:
Type of Product(s) for Tagging:
Tag Fixation Point:
	If Other
Application Method:
Product Composition Base:
Tagged Surface Temperature Exposure (Min/Max):
Dock Door/Portal Based Solution:
RFID Tag, Reader, and Printer Model Interested In:
Description of EPC RFID Application:
Infrastructure Application (if applicable)
Type of Product(s) For Tagging
Tag Fixation Point:
	If Other
Application Method:
Product Composition Base:
RFID Tag Life Expectancy:
Tagged Surface Temperature Exposure (Min/Max):
Desired Read Range (feet):
Dock Door/Portal Based Solution:
RFID Tag, Reader, and Printer Model Interested In:
Frequency Interested In
	If Other
Description of Infrastructure RFID Application:
e-Signature:
Date: