Wireless Products – Transmitters and Transceivers First Name* Last Name* Job Title Company* Address1* State/Province* Address2 Zip/Postal Code* City* Country Phone* Fax Website* Email (required) How did you hear about our web page? Select OptionGoogleGoogle Sponsored LinkBingLinkedInFacebookYahooBanner AdReferralTradeshowE-mailOther Verify Email Help Us Determine the Test Requirements What Countries/Regions would you like to Market your Product in? Check all that apply: USACanadaEuropean UnionJapanAustralia/New ZelandTaiwanKorea How long will this product be on the market? Please let us know which of these environments your product will typically operate in (check all that apply): ResidentialCommercialLight IndustrialHeavy IndustrialMedicalLaboratory Product information Please provide all applicable information to help us provide you with accurate quotation. Product Description: (for example, DSL Router or 18” Heads-up Display or Small Form Factor Hologram Generator) Model Name and/or Number (for example, CoolRareCar or XR4TI or XR4TI CoolRareCar) Please vive a brief description of the functions that your device performs. What is the intended operational environment? Select OptionHomeOfficeFactoryOutdoorCombinationOther What are the physical dimensions of the product? Please list the number and type of I/O cables used. Please list all clock (oscillator) frequencies used in the system. What is the highest clock frequency of the device? This frequency has been: Select OptionGeneratedMultipliedPLLedOther List any standards the device has already been type approved to. This certification project will be: Select OptionRegular Project CertificationModular ApprovalLimited Modular Approval Are you planning to certify this device through CKC Certification Services? YesNo Type of Equipment Is your device a: Transmitter Transceiver (Simplex, Duplex )Transmitter and Separate ReceiveIndustrial BoosterWideband Consumer BoosterProvider Specific BoosterRF Amplifier Other. Specify: Is your device: FixedMobile StationPortableVehicle Mounted Operating Frequency Information Transmitter Operating Frequency (s): Number of Channels (Frequencies): Channel (Frequency) separation: What is the Bandwidth? Measured at (ex. -6dBc, -20dBc, etc...) Uplink Frequency: Downlink Frequency : Signal Protocol: AMFMGSMEdgeTDMACDMAWCDMALTE Other. Specify: Modulation: FSKQPSK Other. Specify: Output Power Information Rated Output Power? , Measured at: Antenna Terminal,ERP,EIRP, Meters Antenna Information Number of Antennas sold with unit: Indicate Antenna Type (check all that apply): Indicate gain in dBi Loop (gain: ) Helical (gain: ) Whip (gain: ) Rod (gain: ) Patch (gain: ) Bi-Polarized (gain: ) Circular (gain: ) Parabolic (gain: ) Sector (gain: ) Horn (gain: ) PCB Trace (gain: ) Chip Antenna (gain: ) Other (Type & Gain: ) If antenna is a loop style, please indicate the loop size. Does the unit have a separate receiver port? Where is the antenna mounted? On the deviceOn an outdoor structureIndoors If the antenna is mounted on the device, is the antenna : IntegralExternal If the antenna is integral, is it possible to remove the antenna? YesNo If the antenna is removable, what type of connector is used? Reverse BNCReverse SMAOther Specify: NOTE: Please provide adapter, if necessary, to connect to either N, BNC, or SMA type connectors. Power Supply Information Type of Power: AC Single Phase Three Phase AC/DC Power Supply: DC Battery Additional power options or Accessories: Vehicle Adapter Battery Charger Battery backup Type of Battery: Solar Power AC Power Adapter Other: Other Related Information Will you also require environmental / climatic / dynamics testing on this project? Choose OneYesNo If you answered yes above, would you like to receive a quotation from one of CKC's environmental testing partners? Choose OneYesNo