Elite Electronic Engineering, Inc. 1516 Centre Circle Downers Grove, Il 60515 630-495-9770 www.elitetest.

com

For Elite to prepare a formal proposal for services, we request the applicable information specified on this form. If you require assistance with this form or your test application, please contact an Elite sales engineer. 1-800-ELITE-11 (800-354-8311).

RF Transmitter Request for Proposal Project Information and Virtual Test Plan Customer Information
Customer (contact name) Customer (company name) Street, City, Zip, State Phone: email:

Test Item Information

(If available, please email product information as a separate attachment)

Test Item Description: Name, Function, etc.

Web Site URL with Test Item Described. Test Item Size (length, width, height, weight) Are there many product variants or similar models requiring compliance? Test Item Electrical Power Voltage, Current, Phase, Frequency. Describe the number of cable bundles, i.e. power cable, I/O cable, communications cable. Can the test item operate continuously, or is there an operating duty cycle that requires a cool down period? Identify transmit and receive frequency, output power, modulation, channel spacing, transmit duty cycle. Spread Spectrum (Direct Sequence or Hopping)? Does the device have a permanently attached antenna?

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Describe the mode(s) of operation for the test item during the test.

What is the highest operating digital frequency or signal? Does the test item have a digital communication port(s), i.e.. USB, RS-232, CAN Does the device include any magnetic sensitive components (Hall effect)?

Test Requirements

(If available, please email test requirements as a separate attachment)

Identify compliance rquirements if known:

Will this device be used in the following applications: vehicles, medical, hazardous locations, marine shipping, commercial aviation, or military applications?

Does this device currently have a NRTL listing or approval? If not, will a NRTL listing be required?

Describe Criteria for Evaluation of Pass/Fail

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Identify the primary countries in which this device will be sold. Identify the countries where this device will eventually be sold. Will you require Elite to certify this product. As an FCC Certification Body Elite can issue the equipment authorization grant. Will you require Elite to issue a Notified Body opinion. As a European Union CAB, Elite can issue the statement of opinion.

General Information
Have you tested with Elite before? Have you tested this item with Elite before? Will you be present for testing? When do you need your proposal?

Other information regarding test item or test requirements.

Please provide the following information.

Set up instructions: Wiring Harness Details Load Box & Support Equipment Pin-out Diagram

(If available, please email information on the as a separate attachment)

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This area for a jpg, gif photo or image of the test item.

For assistance in preparing this form, contact an Elite sales engineer at 1-800-354-8311

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