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AquaAlert Products
WatchDog Products
DA Series
LD Series

Graphic Annunciator Order Form
Panels
PRODUCTMODELQUANTITY
Graphic Annunciators
LD Directory Series
Security Annunciators
Weather-Tight Annunciators

DA Directory Series
PRODUCTMODELQUANTITY
Order 1
Weatherproof
Gasket?		YES    NO
Order 2
Weatherproof
Gasket?		YES    NO
Order 3
Weatherproof
Gasket?		YES    NO

Options
# of LEDs Needed
Your PO Number
Activating Device
Control Panel
Common
Flush Mounting YES    NO
Rainproof Enclosure
(WT Model Only)		 YES    NO
Latching Inputs YES    NO
Flash/Steady YES    NO
Diode Matrix YES    NO
U.L. Required YES    NO
Power Supply YES    NO
Sonalert/Silence YES    NO
Panel Orientation Vertical    Horizontal
Frontlit/Backlit Frontlit    Backlit
More Than One Control Panel Connection? YES    NO

Your Contact Info
Company
First Name
Last Name
Email
Telephone

Your Physical Address
Street Address
City
State
Zip Code
Country

Your Billing Address
Billing Same As Above? YES NO
Street Address
City
State
Zip Code
Country

Shipping Method
UPS Next Day Air
UPS Next Day Saver
UPS Second Day
UPS Third Day
UPS Ground

Questions & Comments


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