Order Form - IDcardPrinterSavings.com

IDcardPrinterSavings.com
a Division of Mobile ID Solutions, Inc
1574 N Batavia Street, Suite 1, Orange, CA 92867
P:(714)922-1140 F:(714)532-4234
1351 - ProxPass II Tag Ordering Form
Please ensure each required option has been checked with the appropriate choice to fulfill a completed order form
Completed Order Forms can be faxed to 714-532-4234 or e-mailed to [email protected]
Customer Information
Phone
Fax
Email
Web Order #
Company Name
Contact Name
Address
Address
1351 Base Model
Programming
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Color
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Back Packaging
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Tag Numbering (Check One)
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Hardware Option
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Please enter your final Tag options from check boxes above. Example: 1351LBSMN
Final Part Number
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(Optional Artwork #)
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12345 = Tag ID Number
YYYYYYYY-YY = Sales Order Number
125 kHz Tag Programming Information
Bit Numbers
. (example: 26 bit)
Format Number
(example: H10301)
Facility Code (Custom Formats) Site Code City Code OEM Code Internal Tag No. Start Stop External Tag No. Start Stop Special Instructions: The ProxPass II Tag includes two replaceable internal batteries and Velcro strips for a complete and simple installation.
Battery Part # BR2330, available at most electronic stores (not sold by HID).

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