Pent Eye Order Request form:

Enter your name*

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Address*

City*

State*

Country*

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Zip*

Phone*

URL

Company Name*

Industry*

--------- Banking & Finance Government & PSUs Hospitals & Clinics Other Medical Industry Retail & Brand outlets Education Institute IT Sector Professional Services Management Consultants Advertisement Industry Other Industry

Employees*

--------- 0 to 50 50 to 100 100 to 500 500 to 1000 1000 to 2000 2000 & above

Product*

--------- Spectra S-1200 - Single WAN Spectra S-1400 - Dual WAN Spectra S-1600 - Multi WAN

Installation*

--------- Add-on Equipment Purchase Add-on Equipment Rental Configuration & Setup only No Installation needed

Quality*

--------- Standard Definition High Definition Ultra High Definition

Support*

--------- Basic Plan - Free Support Contract Real-time Plan - Advanced Support Contract No Support needed - Will manage our own

Convenient Day to Contact

Convenient Time to Contact

Require Yearly Service Maintenance Contract

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