Product Order Form

Product Order Form

Energy Management System by Hotel Service Corp.
Name

First NameLast Name
Title
Company
Company Name
E-mail
Contact Number

Area CodePhone Number
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Shipping Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Energy Management System Products
prevnext( X )
Energex Wi‐Fi Dream Thermostat (humidity sensor, 433Mhz 12volt 1channel receiver with online firmware)$265.00

QuantityVoltageColor
Item subtotal:$0.00

Wireless 433 mhz PIR Motion Ceiling/Wall Mounted$39.00

Quantity
Item subtotal:$0.00

Wireless 433Mhz Wireless Door/Sliding Door Contact$29.00

Quantity
Item subtotal:$0.00

Sage Web‐based Remote Management Software (yearly subscription fee per thermostat)$4.20

Quantity
Item subtotal:$0.00

Subtotal $0.00Shipping $0.00Total $0.00
Purchase Order Information
Purchase Order Number
Upload Purchase Order

Upload
PDF files only Cancelof
Should be Empty: