PRIBUSIN ACTIVATION

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Pribusin Cellular RTU Activation Worksheet

It is important that this form is complete before we are able to activate your new cellular telemetry system. Incomplete form will delay system activation.
If you are deploying more than one system, a separate activation worksheet is required for each system.
See images below for required RTU information from each site. Make sure that the information door sticker and RTU sticker MATCH exactly.
The primary contact should be the person responsible for renewing the yearly cellular service after the first year of service.

Customer Name

Billing Address

Street Address

City

State

Zip Code

Primary Contact Person

Name

Phone

Secondary Contact Person

Name

Phone

RTU's

# of RTU’s for this system

See images below to complete the following:

Installation Location #1

Name

Model (both RCI and OC)

Serial #

IMEI #

RCI-Serial#

Installation Location #2

Name

Model (both RCI and OC)

Serial #

IMEI #

RCI-Serial#

Installation Location #3

Name

Model (both RCI and OC)

Serial #

IMEI #

RCI-Serial#

Installation Location #4

Name

Model (both RCI and OC)

Serial #

IMEI #

RCI-Serial#

If there are more than (4) RTU’s in a system, please complete a second activation worksheet with additional site information as listed above.