New Deployment

Customer Type * Paid Demo Research

Customer Name *

Municipality / Hospital *

Department *

Delivery Date *

Headset * -- Select -- PA-SEED-HS-0009 (G2, 128GB) PA-SEED-HS-0010 (G3, 256GB) PA-SEED-HS-0011 (Other, 512GB) PA-SEED-HS-0012 (G2, 64GB)

Sensor * -- Select -- AA:SE:ED:09:BB:27 (Batch 14) AA:SE:ED:10:BB:30 (Batch 10) AA:SE:ED:11:BB:33 (Batch 11) AA:SE:ED:12:BB:36 (Batch 12) AA:SE:ED:13:BB:39 (Batch 13) AA:SE:ED:14:BB:42 (Batch 14) AA:SE:ED:15:BB:45 (Batch 10) AA:SE:ED:16:BB:48 (Batch 11)

Tablet (optional) (none) TB-SEED-000000004 (A7) TB-SEED-000000005 (A9) TB-SEED-000000006 (Acer) TB-SEED-000000007 (Other) TB-SEED-000000008 (A7) TB-SEED-000000009 (A9) TB-SEED-000000010 (Acer)

Note