1. Personal Information First name: Last name Company: Address: Email: Phone number: Mobile phone: 2. Scanner options Which type(s) do you want? (Eg. 1D/2D/RFID/..) If 1D, which ISO Code? If RFID, which frequency's do you want it to support? (Eg. UHF, HF, LF) Bluetooth support? YesNo RS232 support? YesNo Wireless support? YesNo USB support? YesNo Keyboard Want? YesNo Scan range? (Centimeters) ATEX Approved? YesNo If ATEX Approved, which certificate do you require? Gas/Dust resistant? YesNo If so, which IP-Certificate do you need?