User Assignment Form

User ID:        Name: 

Telephone:          Email: 

Number of Assignment Required: 

       Latitude: 

       Longitude: 

       Date Deployed: 

       Location Name: 

Preferred Channels: 

Type of Platform

Self-Timed Random Interrogate Dual

Secondary channel: Yes                                  Transmit Period: 

No

Point of Contact:

Name:   Telephone:    Message Length: 

Email: 

Comments:

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