SAS Data Input - Wireless Etc

Name(Required)

First Last

Install Type(Required)

Choose New only if its a NEW customer. Choose Update if updating existing radio. Choose Replace if replacing existing customer radio.

Radio Type(Required)

Dish

Yes

Tower

AP#

Color Code(Required)

ESN(Required)

Please Enter Mac address in the format shown above.

MSN(Required)

GPS N(Required)

Enter a Latitude Value.

GPS W(Required)

Enter a Longitude Value.

Height (meters)(Required)

Downtilt(Required)

Azimuth(Required)

Additional Notes

Phone

This field is for validation purposes and should be left unchanged.