Monitor Specification Form 2

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(All Information submitted in this form is confidential and solely for the purpose of providing you with a quotation)

Your name: E-mail:
Company name: Title:
Address:
City:

State/Prov.:

Postal code/Zip:

Country:

Phone:

Fax:

Preferred Method of Payment:

Monitor Make: Model: Weight:

It is VERY important to make sure the monitor is level when taking measurements

A:

B:

C:

D: *

E:

F: *

G: *

* The Sum of D + F + G should = A
H:

I:

J:

 
K:

L:

M:

If Power cord and parallell cable

is permanently attached to the Monitor

enter the height from the bottom of the base

to where the cables enter the Monitor

Here:

Comments

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