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Basic Buisness Contact Information
Buisness Name:		Conact Name:
Email Adress:
Phone #:	() -	Fax #:	() -
Antenna Design Specifications
Frequency of Operation:
Antenna Type:	Linear Vertical Cross Polarized Circularly Polarized	Feed Line Type:	50ohm75ohmother(specify in comments)
Connection Style:		Boom Length:
# of Elements:		Overall Weight:
Material Coating (if any):
Weather Considerations:
Requested Gain:	dBi dBd	Gain at edges of Bandwidth:
Front to Back:		Beamwidth:
"E" Plane:		"H" Plane:
Mounting:	Fixed Location Mobile	Construction Type:	Light Duty Medium Duty Heavy Duty
Power Handling:		Maximum Windspeed Survival:
Other Comments/Instructions: