Analog International Product Options Worksheet CALA

Distributor Information
Company Name:      Purchase Order:
Phone Number:      Fax Number:
Contact Name:   Onsite Date:

Property Information
Company Name:      Property Location:
Country of Ultimate Destination:
Property Phone Number:      Property Contact Email Address:
Property Contact Name:

Telephone Part Number:  

PABX Manufacturer: Alcatel Avaya Ericsson Mitel NEC Nortel Other Panasonic Philips Samsung Siemens
PABX Message Waiting: NEON (90V) LED ALCATEL (LOW-VOLTAGE) SIEMENS ANALOG (COMTEL3 Specification Only) PHILIPS SOPHO REVERSE POLARITY OTHER (please specify): Other:

****Additional charges apply for orders requiring Siemens message waiting.

****Additional lead times apply for orders requiring Siemens message waiting as stated below:

- Orders containing 50 units or less: 4 week lead time after receipt of completed options worksheet and pre-payment (if applicable).
- Orders containing 50 units or more: 8 week lead time after receipt of completed options worksheet and pre-payment (if applicable).

FLASH Timing: 600 milliseconds 100 milliseconds 200 milliseconds 300 milliseconds 400 milliseconds 500 milliseconds 700 milliseconds 800 milliseconds 900 milliseconds 1000 milliseconds
Line Cord Connector: RJ11 RJ12/14 RJ45 (Pass-Through) BT Other (please specify): Other:
Telephone Color: ASH BLACK Other (please specify): Other:
Custom Printed Paper Faceplates: NO YES      Room Numbers on Faceplates: NO YES
Factory Pre-Programming of Speed Dial Memory Buttons  NO YES
Power Adapter Configuration  North American Standard: 120V, 3 Prong European Standard: 220V, 2 Prong India Standard: 230V, 3 Prong United Kingdom Standard: 220V, 3 Prong

Tropicalization of Circuit Boards Required: NO YES

****Additional charges apply for orders requiring Tropicalization of circuit boards.

****For orders requiring Tropicalization of circuit boards additional lead times apply as stated below:

- Orders containing 50 units or less: 4 week lead time after receipt of completed options worksheet and pre-payment (if applicable).
- Orders containing 50 units or more: 8 week lead time after receipt of completed options worksheet and pre-payment (if applicable).

Certificate of Origin is required for shipment of this order: NO YES

Cetis supplied Commercial Invoice: NO YES
Cetis supplied Commercial Invoice will include the Dealer or Distributor's actual cost.

Dealer or Distributor supplied Commercial Invoice: NO YES
Dealer or Distributor must supply their generated commercial invoice no later than 3 business days prior to shipment.
Email signed commercial invoice to cosmond@cetisgroup.com. Or, if by fax, please send to Amanda Roth +1.719.638.8815

Please sign here: 
Name______________________________     Date___________

Please email this completed worksheet to Claudia Osmond: cosmond@cetisgroup.com. Or, if by fax, please send to Amanda Roth +1.719.638.8815