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*First Name *Last Name *Company Name
Business Type
Importer Exporter OEM Manufacturer
Dealer Distributor Other
Company Address 1
Company Address 2
Country *Telephone Fax
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Video
Number of Channels
 
   
Data
Number of Channels
Signal Direction Forward Reverse Bi-directional
     
Audio
Number of Channels
Signal Direction Forward Reverse Bi-directional
       
Contact Closure
Number of Channels    
Signal Direction Forward Reverse Bi-directional
     
Ethernet
Do you need 100M Ethernet Yes No
     
Optical Fiber
Fiber Type Single-mode (9/125u) Multi-mode (62.5/125u)
Fiber Connector ST FC
     
Equipment Mounting
Transmitter Standalone Rack-Mount
Receiver Standalone Rack-Mount
 
   
Other Specific Requirements
      
For complex system requirements, please contact us directly on
sales@ot-systems.com or
sales.usa@ot-systems.com
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