Network Video Technologies
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Distributor Project Registration Request Form

Questions about Project registration? Please call +1 650.462.8100 or 1-800-959-9870.

Note: This document must be submitted at least one month prior to NVT's receipt of a purchase order.

( + denotes required field )



Project Name: +
End User Company: +
Contact Name: +
Contact Phone: +

Additional Contacts
  Company: Contact Type:
       
  Name: Phone:
       

  Distributor Information  
  Company Name:
+
 
  Full Address (Street, City, State, Zip):
+
 
  Salesperson:
+
 
  Email Address:
+
 
 
Phone: Fax:
+ +
 

Scope of project: (# of cameras, typical distances, etc.)+


Start Date (approx.):  / / +
End Date (approx.):  / / +



Please enter quantities for the specified products:
QuantityModelDescription
NV-208A-MVideo Transceiver
NV-216A-PVPower-Video Transceiver
NV-DCI4DC Isolator RJ45 Adaptor
NV-4PSRMBKRack Mount Kit (Accessory)
NV-213AVideo Transceiver
NV-218A-PVDPower-Video-Data Transceiver
NV-BKT214-8Mounting Bracket (Accessory)
NV-214A-MVideo Transceiver
NV-226J-PVUTP Video Transmitter +12VDC Converter
NV-BNC-8Coax Jumper Cables (Accessory)
NV-RJ45ARJ45 to Screw Terminal Adaptor (Accessory)
NV-704J-PVD4 Channel Cable Integrator
NV-215J-MVideo Transceiver

Now Available

New!
NV-RM8/10Rack Panel (Accessory)
NV-716J-PVD16 Channel Cable Integrator Hub
NV-217J-MVideo Transceiver

Now Available

New!
NV-413A4-Channel Video Transceiver
NV-4PS10-PVD4 Channel Power Supply Cable Integrator Hub
NV-WMBKHub Wall Mounting Kit (Accessory)
NV-452R4-Channel Video Receiver
NV-4PS13-PVD4 Channel Power Supply Passive Receiver Hub
NV-652RVideo Receiver
NV-8PS13-PVD8 Channel Power Supply Passive Receiver Hub
NV-653TVideo Transmitter
NV-16PS10-PVD16 Channel Power Supply Cable Integrator Hub
NV-8138-Channel Video Transceiver Hub
NV-16PS13-PVD16 Channel Power Supply Passive Video Receiver Hub
NV-813S8-Channel Video Transceiver Hub
NV-442Active Receiver Hub

Available September 2010

New!
NV-8428 Channel StubEQ™ Active Receiver Hub
NV-8PS42-PVDActive Receiver Hub

Available Fall 2010
NV-8628-Channel Active Receiver DA Hub
NV-8728-Channel Digital EQ™ Receiver DA Hub
NV-161316-Channel Video Transceiver Hub
NV-1613S16-Channel Video Transceiver Hub
NV-164216-Channel StubEQ™ Active Receiver Hub
NV-16PS42-PVDActive Receiver Hub

Available Fall 2010
NV-166216-Channel Receiver DA Hub
NV-167216-Channel DigitalEQ™ Receiver DA Hub
NV-321332-Channel Video Transceiver Hub
NV-3213S32-Channel Video Transceiver Hub
NV-324232-Channel StubEQ™ Active Receiver Hub
NV-32PS42-PVDActive Receiver Hub

Available Fall 2010
NV-326232-Channel Video Receiver Hub
NV-327232-Channel DigitalEQ™ Receiver Hub
NV-314APassive Video/Audio Transceiver
NV-418ADual Passive Video/Audio Transceiver
NV-418ARRack Mount Dual Passive Video/Audio Transceiver
NV-518ADual Video/Audio Transceiver
NV-518ARRack Mount Dual Video/Audio Transceiver
NV-RM15Rackmount Video/Audio Transceiver System

Distributor has agreed to register the project with NVT only: Yes
 
An NVT representative has met with end user: Yes
If yes, Meeting Date: / /
NVT Rep. Met with:

If desired, please add any additional remarks or comments:

All information on this form is strictly confidential and will only be shared with employees of the company submitting this document.