Gen-2 Installation Form Gen-2 Installation Form Site Name(Required) Customer Name(Required) Unit Modem Number Installer Name Site Address (Or Lat Long) City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Digital InputsDI-1 DI-1 Options NO NC DI-2 DI-2 Options NO NC DI-3 DI-3 Options NO NC DI-4 DI-4 Options NO NC DI-5 DI-5 Options NO NC DI-6 DI-6 Options NO NC DI-7 DI-7 Options NO NC DI-8 DI-8 Options NO NC Digital OutputsDO-1 DO-2 DO-3 DO-4 Analog InputsAI-1 Optional Use Analog As Digital AI-1 4mAAI-1 20mAUnits Offset AI-2 Optional Use Analog As Digital AI-2 4mAAI-2 20mAUnits OffsetAI-3 Optional Use Analog As Digital AI-3 4mAAI-3 20mAUnits OffsetAI-4 Optional Use Analog As Digital AI-4 4mAAI-4 20mAUnits Offset Expansion BoardsOptional Expansion Boards can be added here: Expansion Type Actions Edit Delete There are no Expansions. Add Expansion Maximum number of expansions reached. Contact Information Who should we contact in case there are questions about this submission?Name(Required) PhoneEmail(Required)