Site Survey Small VSAT

Section 2 - Proposed Site Location

Information regarding the proposed antenna installation location
Site ID
Please enter the unique site ID if known
End-customer's organization name
New installationExisting installation - repointExisting installation - relocationOther
Site latitude (in decimal)
Enter at least with two decimal points
Site longitude (in decimal)
Enter at least with two decimal points
Physical site address

Street address

Street address line 2

Village / CityState / County/ Province

Postal / Zip codeCountry
Additional Information (if applicable)

Section 3 - Site Contact Information

Contact information for personnel responsible for installer access to location
Main point of contact (POC)

First nameLast name
Main POC email
example@example.com
Main POC telephone number:

Country code(Area) codePhone number
Alternative POC (if applicable)

First nameLast name
Alternative POC email
example@example.com
Alternaive POC telephone number:

Country code(Area) codePhone number
Additional Information (if applicable)

Section 7 - Indoors

This section is designed to present information about the modem location
Please describe where the modem will be installed
YesNo, an extension will be required
Please upload a photo of the modem location and power source (indoor)

Cancelof
Space for any additional information (if applicable)

Form Execution
In terms of complexity, implementation of this site will be

1

2

3

4

5

1 is Difficult, 5 is Easy
Estimated time (hrs) needed to do a full installation
Yes, easyYes, but support requiredNo, drop off onlyNo, only in the public domain
Space for any additional information (if applicable)
Should be Empty:

Site Survey