RFID Site Survey Request Form
Form submission subject to review and acceptance by RFIDKNOW
Contact Information
Please provide contact information for person completing this form
Name
First Name
Last Name
Email
example@example.com
Company Name
Phone Number
Please enter a valid phone number.
Site Information
Please provide site information where survey will be conducted
Preferred Site Survey Date
-
Month
-
Day
Year
Date
Alternate Site Survey Date
-
Month
-
Day
Year
Date
Address of Site Survey
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Facility Description
Please describe the facility including size, area to be surveyed, safety concerns, access limitations (including after-hours requests), network connectivity, etc.
Site Survey Options
Please select site survey options below
Survey Type (All Surveys Include Report):
Walk-through and Visual Survey Only (No Equipment Testing)
RFID Equipment Testing On-Site (Handheld Testing Only)
RFID Equipment Testing On-Site (Fixed Testing Only)
RFID Equipment Testing On-Site (Handheld + Fixed Testing)
Additional Notes
Please provide any additional notes or comments related to the site survey request
Document Upload
Browse Files
Drag and drop files here
Choose a file
Please upload any documents related to the site survey request
Cancel
of
Submit
Should be Empty: