Company___________________________________________
Contact Name _______________________________________
Phone:  (_____) _____________  FAX: (_____) ____________
Mailing Address: _____________________________________
City:_______________________________________________
State:__________________ Country:_____________________
Postal/Zip Code:______________________________________

Is your company:  [ ] Regional   [ ] State-wide   [ ] Nation-wide  [ ] World-wide

Does your company operate outside of your home state ?    [ ] Yes  [ ] No
Does your company operate outside of your home country? [ ] Yes  [ ] No

Are your drivers away overnight ?  [ ] No  [ ] Sometimes  [ ] All the time

How far do your vehicles travel from the central dispatch site ? ________ Mi.

Do your drivers return to a central dispatch station ? [ ] Yes  [ ] No

How many vehicles would you like to monitor ? _____________

Do you have existing communication systems between the vehicles and
a central dispatch station ? [ ] No  [ ] Yes, Radio  [ ] Yes, Cellular  [ ] Other

Do you currently use a vehicle tracking service ?  [ ] Yes  [ ] No

(click on links below for explanation of each system - or read the entire article)
Do you want: [ ] Active  [ ] On-Demand  [ ] Passive    tracking system
Is your application [ ] Stolen Vehicle Recovery  [ ] Covert Vehicle Tracking

Rate in order of importance:                   <--- Less important  // Very Important --- >
Improve driver performance          []1    []2    []3    []4    []5
Improve service to customers        []1    []2    []3    []4    []5
Able to communicate with driver     []1    []2    []3    []4    []5
Monitor reefer temp., doors, etc.   []1    []2    []3    []4    []5 
Driver panic / holdup notification  []1    []2    []3    []4    []5
Knowing the location of vehicle     []1    []2    []3    []4    []5
Able to track a stolen vehicle      []1    []2    []3    []4    []5
Able to disable stolen vehicle      []1    []2    []3    []4    []5

What is the PER VEHICLE equipment cost that would make you decide
that a tracking service is just too expensive ?

[ ] $ 500  [ ] $ 750   [ ] $ 1,000   [ ] $ 1,500   [ ] $ 2,000   [ ] $ 2,500   [ ] $ 3,000
              (these equipment costs are one-time purchases - not rentals)

Aside from EQUIPMENT costs, you should consider OPERATING EXPENSES.
Based on your requirements, what is the MONTHLY operating cost that would
PROHIBIT you from considering the purchase of an AVL system at this time ?

[ ] $ 200  [ ] $ 400   [ ] $ 800   [ ] $ 1,300   [ ] $ 1,500   [ ] $ 2,000   [ ] $ 2,500
           (operating costs include ARDIS air-time or cellular / satellite fees)

How did your hear of TELSON ?  [ ] Referral by: __________________________
[ ] Internet Search   [ ] Link from other web site  [ ] By accident  [ ] Magazine Ad