RACKMOUNT COMPUTER SYSTEMS QUOTE FORM

SYSTEM DEFINITION QUOTE REQUEST FORM

Chassis Plans' core system competency is defining and configuring turn key system to customer's exact requirements. The following form is provided to help your Sales Engineer better understand your application and needs. Given your system requirements, the Sales Engineer will be in touch shortly to discuss your application, make hardware recommendations, and provide a quotation.

You will receive an acknowledgement and copy of the completed form via email. (Submit button at bottom).

Alternatively you can email saleseng@chassisplans.com or call 858-571-4330.

Please note that leaving the form will delete all the information you have input. If you want to go to other web pages, keep the form active in a window or tab by using the right mouse button to navigate away from the form. A shorter Product Quote Form is available for non-configured component information. The LCD Quote Form is available for LCD products.

COMPANY INFORMATION
Name *
Job Function (Title)
Company *
Division
Address 1 *
Address 2
City *
State *	Zip *
Country
Phone *	Extension
Fax
Email *
PROGRAM INFORMATION
Program Name
System Application/ Comments	[ Please provide comments or describe the application in terms of function,installed environment and agency certifications. ]
Quantities to Quote
Requested Lead Time
CHASSIS SELECTION
Please Note: The following information is not required to submit this form but is offered to assist you with defining and communicating your system requirements to our Sales Engineers. To submit the form, simply roll to the bottom of the page to complete the submission.
Chassis Style	Custom or Other 1U Rackmount 2U Rackmount 3U Rackmount 4U Rackmount 5U Rackmount 6U Rackmount Bench Top Wall Mount Node Open Frame Blade
Front Accessible I/O & Card Slots	No       Yes
Preferred Chassis Model Number
Custom Chassis Features	[ Please discuss any desired custom chassis features such as custom paint color, customer logo or silk screen, metal work changes, and so forth. ]
Maximum Chassis Depth
Maximum Weight (Configured)
Installation	19" 4-Post Rack 19" 2-Post Rack 19" Shock Isolated Rack Transit Case Wall (Bulk Head) Mount 23" 2-Post Rack Mobile Installation Other
Installation Notes	[ Please discuss any special installation requirements or environment. ]
MOTHERBOARD / SINGLE BOARD COMPUTER / BACKPLANE SELECTION
Motherboard/SBC	Motherboard SBC & Backplane
Processor Type	Core i7 Core i5 Core i3 Six Core Xeon Quad Core Xeon Dual Core Xeon Core2 Duo Core2 Quad Other
Number of CPU	1       2       4
CPU Speed
Memory	2GB 4GB 8GB 16GB 32GB >32GB
Motherboard Features	[ Please list any special motherboard features such as required chip set, long availability, blazing fast performance, on-board something, etc. ]
PCI Express Slots	[ List quantity and number of lanes: For example; 1 x16, 3 x4 ... ]
PCI-X Slots	[ List quantity and speed For example; 1 133MHz, 2 100MHz ... ]
PCI Slots	[ List quantity and requirements such as 3.3v, 5v or universal. ]
ISA Slot
On Board Video	On-Board       Plug-In Card
Video Requirements	[ If on-board video is not sufficient, list any special video requirements such as: Preferred Manufacturer and model number or Output Connections (VGA, DVI, DVI*2) ]
DRIVE SELECTION
Number of Hard Drives	1 2 3 4 5 6 7 8
Hard Drive Type	SATA SAS Solid State
Hard Drive Size	250GB 500GB 1TB 2TB >2TB Other
Hard Drive Speed	7,200 RPM 10,000 RPM 15,000 RPM
Hot Swap Drives	No       Yes
RAID	None 0 (Striping) 1 (Mirroring) 3 (Bit Interleaved Parity) 4 (Dedicated Parity Drive) 5 (Striping w/ Parity) 6 (Striping w/ Dual Parity) 0+1 (Striped + Mirrored) 1+0 (10)(Mirrored + Striped) 5+0 (50)(Stripe Across Parity) 5+1 (Mirrored Striped)
Hard Drive Considerations	[ Please list any special considerations such as speed, ruggedness, solid state, etc., for the hard drives. ]
CD/DVD	CD Read Only CD Read/Write DVD Read Only DVD/CDRW Read/Write DVD Dual Layer DVD Blu Ray
I/O PORTS and PLUG-IN CARDS
I/O Ports	[ Please list any special requirements regarding I/O ports such as number of serial ports (RS232, 422, 485), parallel ports, fire wire, Ethernet, etc. ]
Qty of USB Ports
Front Mount USB Ports	Yes       No
Qty of Ethernet Ports
Plug-in I/O Cards	[ Please list plug-in I/O cards that will be installed in the system. Please list manufacturer and model number. And indicate if you would prefer Chassis Plans to quote and provide these or if you will be installing them. ]
POWER SUPPLY
P/S Input Voltage	AC (100VAC to 264VAC Auto Ranging) DC +12VDC DC +24VDC DC +28VDC DC -48VDC (Telco) MS 704 (28VDC Nominal) Other
P/S Redundant	Yes       No
P/S Requirements	[ Based on your configuration, we will select the appropriately sized power supply. Please list any special requirements here. ]
MISCELLANEOUS
Operating System	Windows 7 64-Bit Windows 7 32-Bit Windows XP Embedded Windows Server 2000 Windows 2000 Pro Windows Server 2003 Linux Solaris Other
Operating System Notes	[ Please discuss any special OS requirements such as the flavor of Linux. ]
Agency Approvals	[ Please list any agency approvals such as UL, CSA, TUV, CE or Mil-Spec 901, 187, 810, NEBS, etc., that are required. ]
General Notes	Please list any thoughts or questions that might help your Sales Engineer better understand your requirement.
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