MA-005 - MINITRANS Installation Manual - Rev 3.1
29-Sep-15
Page 37 of 85
Installation Record
Appendix C
Customer Contact and Site Details
C.1
Company:
Address:
City, State and Postcode (Zip):
Country:
Phone:
Installation Site Name:
Site Address:
City, State:
Postcode (Zip):
Country:
Primary Corporate Contact:
Name:
Title:
Address:
City, State and Postcode (Zip):
Country:
Phone:
Mobile:
Email address:
Secondary Contact Name:
Mobile:
Primary Site Contact:
Name:
Title:
Address:
City, State and Postcode (Zip):
Country:
Phone:
Mobile:
Email address:
Secondary Contact Name:
Mobile:
Site Map
Please attach a detailed map or GPS coordinates on how to locate the site.
