Standard US Factory Message Waiting Light Pre-Programming Order Form Today's Date: ________________ Cetis Order Number: __________________ Distributor/Dealer Company Name:___________________________________ Distributor Purchase Order Number: __________________________________ Country of Ultimate Destination: _____________________________________ Onsite Date: ______________________ Property Name, City, and State: ______________________________________ Contact Name/Phone Number: _______________________________________ Telephone System (PBX/Gateway make model and version)________________ PBX/Gateway Message Waiting: ____Neon/LED/FSK____________________ Model Number/Part Number/Color: ___________________________________ Faceplates: Yes ____ No ____ Programming: Yes ____ No ____ Require 25 ft line cords: Yes ____ No ____ *Canadian Orders Only: Cetis supplied Commercial Invoice: Yes ____ No ____ *Certificate of Origin Required for Shipment: Yes ____ No ____ Note: For Trimline telephone orders only: 6 inch line cord ____ 15 foot line cord____ Please note all phones come pre-programmed as noted in column A. If your application requires anything different please fill in column B. Column A Location Standard Factory programming *24111 Column B PBX Speed Dial Access TouchLite Message Retrieval Notes: Buttons are numbered from left to right. 32 digits in Tone mode can be stored into each location. Pause and Flash count as 1 digit. Please print form and sign here: Name____________________________ (Signature Required if completed by a Cetis employee) Speed Dial Button Description TouchLite Message Waiting Light Date___________ Please fax the printed form to Cetis customer service at +1.719.638.8757.
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