CPE REQUEST FORM
Today’s Date
P/Up Date _Friday May 08___
Buffer Number : GR3/09ACS
Service Center or contractor Name :
ACS BRANFORD/GROTON
All Same Day Orders Must Be Approved by Supervisor: ______________________________
Reason for same day: ____________________________________________________________
Qty |
Type |
Remotes |
Cords |
20 |
Modems (3.0) |
|
|
|
Modems (2.0) |
|
|
30 |
EMTA-CDV |
|
|
10 |
Routers/Gateway Modems |
|
|
|
SMC Commercial Modems |
|
|
20 |
SA Standard Digital |
20 |
20 |
15 |
SA Host HD DVR |
15 |
15 |
10 |
SA Standard DVR |
10 |
10 |
15 |
SA Host HD Digital |
15 |
15 |
|
Cable Cards(SA) |
|
|
|
|
|
|
HDMI to DVI Cables ________________ 10ft________________
HDMI to HDMI Cables _____15___________ 10ft________________
Comments:
|