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To be Completed by Customer
Company name:
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Address
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Address Line 1
Address Line 2
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State / Province / Region
Postal Code
Afghanistan
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American Samoa
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Angola
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Antarctica
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Bonaire, Saint Eustatius and Saba
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Brazil
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Burundi
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Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
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Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
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Croatia
Cuba
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Cyprus
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Denmark
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Dominican Republic
Ecuador
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Eritrea
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Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
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Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
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Iran (Islamic Republic of)
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Isle of Man
Israel
Italy
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Panama
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Poland
Portugal
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Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
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Saint Lucia
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Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
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Senegal
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Solomon Islands
Somalia
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South Sudan
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Sudan
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Svalbard and Jan Mayen
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Taiwan, Republic of China
Tajikistan
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Thailand
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Tonga
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Ukraine
United Arab Emirates
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United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Layout
Commercial Contact:
*
Email
*
Technical Contact:
*
Phone
*
Remote Terminal Information - Site
Layout
Site name:
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Technical contact on site:
*
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
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Connecticut
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District of Columbia
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Hawaii
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Pennsylvania
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South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Layout
Email
*
Skype ID / Whatsapps
*
Phone
*
IDU Type:
*
3100
iDirect X3
iDirect X5
iDirect X7
Newtec
Comtech
Installation Type
*
C Band
Ku Band
Ka Band
Layout
IDU S/N:
*
IDU MAC Address:
*
ODU Details:
*
Layout
Antenna size(m)
*
0.8m
1m
1.2m
1.8m
2.4m
LNB S/N
*
Site Latitude:
*
Type of service:
*
BUC size(Watt):
*
2WATTS
3WATTS
4WATTS
5WATTS
8WATTS
16WATTS
BUC S/N
*
Site Longitude:
*
Data
*
Layout
Bandwidth Level:
*
DL:
*
UL:
*
Contention Ratio:
*
1:1
1:2
1:4
1:10
CIR
SCPC
Application:
*
Home User
Corporate Office
Maritime
Government
Layout
Site Registration Instructions
1. All new remote should pay One month plus a month collateral 2. Contact our support@botasat.com for any additional services on request.
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