First name:	Last name
Company:	Address:
Email:	Phone number:
Mobile phone:

---

2. Tablet options

Which ATEX Certificate do you require?

Which display size do you require? (in inches)

What processor do you require?

Do you want an IP Cerificate? If so, which? (eg. IP65)

What Operating Temperature requirements do you have? (in Celsius)

What Operating System requirements do you have?

Do you want Bluetooth Support?

YesNo

Do you want 3G Support for mobile internet access?

YesNo

Do you have any comments?