Cascade Order Fulfillment Form

Requested Submitted by*

Who/what is this request for?*

Customer
Partner
Internal Use
Return Merchandise Authorization (RMA)

What product(s) do you need?*

Gateway
Sensors
Gateway and sensors
Presto Kit

Customer/Partner*

Please attach the purchase order, SOW or other documentation for this request.

Max. file size: 50 MB.

How will this gateway/sensor be used internally (e.g., testing, certifications)*

Gateway Details

Gateway Type*

Cascade-500
Cascade-500W

Gateway Quantity*

Please note how many of each if requesting two different gateway SKUs.

What is the unit cost of the gateway(s)?*

Does the customer need a Power Supply?*

Yes
No

Is there an Edge Direct subscription in this order?*

Yes
No

What is the term length of the subscription, in months?*

What is the renewal price for software after the initial term?*

Which Edge Direct organization should this unit be placed into?*

If you don't know, please consult with Solutions Engineering for the appropriate organization.

Which APN do these units need to be set to?*

This is required for us to complete provisioning. If you do not know, please ask your customer before submitting this form.

Who is providing the SIM card(s)?*

Rigado
Customer

Sensors

Which sensors do you need?*

RS-40 Quantity*

Which Minew sensors do you need? (Select all that apply.)

Minew Quantity*

K58S Quantity

K59 Quantity

KKM Electronic Shelf Label Qauntity

Flic Button Quantity

Hobo Temp Logger Quantity*

Hella People Counter Quantity

Ruuvi Quantity*

EnOcean Quantity*

Other Sensor Details

Shipping & Billing

When does the customer expect their items to arrive?*

Ship To*

First Last

Email*

Phone Number*

Shipping Address*

Please be sure to include a zip code. FedEx requires this regardless of the country.

Customer's Shipping Account #

Please attempt to get a shipping account # from your customer.

Is the billng contact the same as the shipping contact?*

Yes
No

Billing

Billing Contact*

First Last

Billing Email*

RMA

Reason for Return*

Serial Numbers*

Are we sending a replacement unit?

If no, we will refund the customer.

Yes
No

Ship replacement unit to:*

First Last

Phone:*

Email:*

Shipping Address*

Please provide the shipping address where the replacement unit should be sent.

Gateway Details

Sensors

Shipping & Billing

Billing

RMA

Special Requests/Instructions:

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