Wireless Communications | Brockcom Inc. | Los Angeles

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Customer Information

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First Name *

Company Name *

Last Name *

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Event Details

Event Name *

Start Date *

End Date *

Delivery Address (If Different) *

Line 1

Line 2

City

State

Zip Code

Country

Delivery/Pickup *

Delivery Pickup

Other Details *

Equipment and Services Required
(Enter Quantities Needed)

Radios

Analog Radios *

Digital Radios *

VOIP Phones *

Other Equipment

Base Stations *

Repeaters *

Services

Wifi *

Onsite Management *

FCC Licensing *

Radio Programming *

Event Planning *

Accessories

Single Charger *

Multicharger *

Extra Batteries *

Speaker Microphones *

Light Headsets *

Double/Heavy Headsets *

Surveillance Microphones *

Other *

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