User's Manual

FCC RFID REGISTRATION FORM
FOR FCC RULE 15.240
To:
Experimental Licensing Branch, OET
Federal Communications Commission
445 12
th
Street, SW
Washington, DC 20554
ATTN: RFID Registration
Subject: Registration for Savi Technology, Inc. Model SR-650-101 RFID Fixed Interrogator
The following information concerning the end user and installation location is hereby submitted as
required by FCC Rule 15.240:
End User Company Name: _________________________________
Individual to Contact: _________________________________
Mailing Address of Contact: _________________________________
_________________________________
_________________________________
Street Address of Contact Office: _______________________________
_________________________________
_________________________________
Contact Telephone Number: _________________________________
Contact E-Mail Address: _________________________________
Street Address of Equipment Installation: ____________________________
____________________________
____________________________
Latitude: _______________________Longitude: ______________________
FCC ID of Equipment: KL7-650R-V2
_____________________________ _________________
Contact Signature Date