Synergex RFID

E-Mail:

Website:

Name:

Job Title:

Responsibiliy during the decision process:

Company Name:

* Headquarters

City:

Province/State/Territory:

Zip/Postal Code:

Country:

Phone:

Fax:

Address:

Industry Type:

Number of employees:

% of employees using final solution %

Are you the End User of this solution: Yes No

If no, Describe:

Are you selling this solution: Yes No

Application:

Retail tracking
Consumer electronics
Asset tracking
Workforce automation
Industrial automation
Security
DOD
Walmart

Give a brief explanation of the solution requirements

Type of technology

Low frequency
High Frequency
Ultra High frequency
Unsure

Are you currently using RFID in your business:

Yes
No
Unsure

If yes, describe:

Are you integrating with any other products or solutions: Yes No

If yes, describe:

Please describe the type of environment this slution will be implemented into:

Indoor environment

      Cold Storage
      Dust
      Livestock
      Toxic chemicals/fumes
      Explosive environment
      Heavy equipment/machinery
      Generators and/or transformers
      Moisture

Give a brief description of any other environmental requirements

Outdoor environment

Climate:

extreme tempret tropical coastal modest

Nearest High voltage wires of Electrical transformer:

< 1 km 1 - 5 km > 5 km Unsure modest

Describe material of items to be tagged:

Glass Metal Wood Card board Organic

Do the items being tagged conain any liquid or metal

Yes : - Distance from outer material mm inches
No
Unsure

Decision Stage:

Researching information
Gathering pricing
Determining feasibility of RFID for my corporation
Competitive quote
Final pricing

Are you willing to have a pilot project implmented : Yes No

Budget allocated for this project:

< $10,000
$10,000 - $50,000
$50,000 - $100,000
> $100,000
No funds allocated yet

When are you considering implementing an RFID solution?

Immediately
Within 60 days
Within 90 days
Within 6 months
Within 1 year
Unsure

Please provide any further details that might be helpful in determining a solution for you: