GE Kelman TRANSFIX 1.6 - Appendix C Installation Record

MA-001 – TRANSFIX-family Installation Manual – Rev 3.0 18-Jan-16 Page 36 of 55
Appendix C Installation Record
C.1 Customer Contact and Site Details
Company:
Address:
City, State and Postcode (Zip):
Country:
Phone:
Installation Site Name:
Site Address:
City, State:
Postcode (Zip):
Country:
Primary Corporate Contact:
Name: Title:
Address:
City, State and Postcode (Zip):
Country:
Phone: Mobile:
Email address:
Secondary Contact Name: Mobile:
Primary Site Contact:
Name: Title:
Address:
City, State and Postcode (Zip):
Country:
Phone: Mobile:
Email address:
Secondary Contact Name: Mobile:
Site Map
Please attach a detailed map or GPS coordinates on how to locate the site.