Kiosk Hardware Solutions  


CARD DISPENSER/ENCODER PRODUCTS QUOTATION REQUEST FORM

 
1. Product (Check all that apply):
T-91Encoder/Dispenser
T-41 Dispenser
MSR-06 MSR R/W
T-84 IC R/W, Magnetic Read
T-88 IC-RFID R/W
T-18 IC R/W
 
2. Application:


 
 
3. Requirements:
Quantity:

Date initial unit required:  

Projected date of roll-out: 

Is this project funded?  Yes   No, not yet
 

Other:

How did you hear about us?:  Google   Yahoo    Referral
 

General Information:
Company
Name
Address
City State/Province Zip/Postal Code
Country (if not U.S.)
Phone # Fax #
E-mail


Instruments & Equipment Company  -  2 Wilson Drive  -  Unit 1  -  Sparta  -  NJ  -   07871

Phone: 973-579-0009 or 800-432-1255  -  Fax: 973-579-6665  -  email: iepos@iepos.com