User's Manual

zBoost® YX741 User Manual zBoost® YX741 User Manual
16 17
Wireless Extenders (“zBoost”) Industrial Signal Booster Consent Form
Prior to the installation of an industrial signal booster it is imperative that you either be an FCC Licensee or have express consent
from all of the FCC Licensees for which signals you wish to rebroadcast. O cial Industrial Warning Label below.
Please complete the information below and keep on record before the installation of ANY industrial signal boosters.
Installer Information
Name
_______________________________________________________________________________________
Address
_______________________________________________________________________________________
Contact Info
_______________________________________________________________________________________
Installation Site Information
Name
_______________________________________________________________________________________
Address
_______________________________________________________________________________________
Contact Info
_______________________________________________________________________________________
FCC Licensee express consent has been given by the following:
FCC Licensee Name
_______________________________________________________________________________________
Contact Person Name
_______________________________________________________________________________________
Contact Information
_______________________________________________________________________________________
Date Consent Granted
_______________________________________________________________________________________
FCC Licensee Name
_______________________________________________________________________________________
Contact Person Name
_______________________________________________________________________________________
Contact Information
_______________________________________________________________________________________
Date Consent Granted
_______________________________________________________________________________________
FCC Licensee Name
_______________________________________________________________________________________
Contact Person Name
_______________________________________________________________________________________
Contact Information
_______________________________________________________________________________________
Date Consent Granted
_______________________________________________________________________________________
FCC Licensee Name
_______________________________________________________________________________________
Contact Person Name
_______________________________________________________________________________________
Contact Information
_______________________________________________________________________________________
Date Consent Granted
_______________________________________________________________________________________
WARNING.  is is NOT a CONSUMER device. It is designed for installation by FCC LICENSEES and
QUALIFIED INSTALLERS. You MUST have an FCC LICENSE or express consent of an FCC Licensee
to operate this device. Unauthorized use may result in signi cant forfeiture penalties, including penalties in excess
of $100,000 for each continuing violation.
For further information, visit
http://wireless2.fcc.gov/UlsApp/UlsSearch/searchLicense.jsp
Verizon
Verizon Wireless (VAW) LLC
Attn: Regulatory
1120 Sanctuary Pkwy, #150
Alpharetta, GA 30009-7630
[phone]
[e-mail]
AT&T
AT&T Mobility Wireless
3300 E. Renner Road, # B3132
Richardson, TX 75082
[e-mail]
T-Mobile
T-Mobile License LLC
12920 SE 38th St
Bellevue, WA 98006
[phone]
[e-mail]
Sprint
SPRINTCOM, INC.
12502 Sunrise Valley Drive
Reston, VA 20196
MetroPCS
MetroPCS Communications, Inc.
2250 Lakeside Boulevard
Richardson, TX 75082
[phone]
Sample Consent Form Licensee Contact Information