[FrontPage Save Results Component]

 

 

Enter your contact information below:
 

Please enter your first name:
                                     

Please enter your last name


Company name:


Please enter your contact phone number:
  Ext

Please enter your email address:


Enter meter reading details below:

System #1 Model: System #2 Model:   System #3 Model: System #4 Model:   
System #1 Serial:    System #2 Serial:    System #3 Serial:     System #4 Serial:   
Meter A (Black, Linear):       Meter A (Black, Linear):       Meter A (Black, Linear):       Meter A (Black, Linear):      
Meter B (Color, Area):       Meter B (Color, Area):       Meter B (Color, Area):         Meter B (Color, Area):      

 

 

Make any comments that you need to below:
 

 

 

We just need some basic information in order to process meter readings for contracts involving metered billing. Contact information is essential if there are any problems or discrepancies so provide as much of this as you can. This form allows meter reading entries on up to 4 machines. Enter a model name, then serial number, then the one or 2 meter readings associated with that particular machine. We typically do not need the complete serial number (unless you want to enter it all), the last 4 or 5 digits usually distinguishes each machine enough to where we know which one you mean. Finally, there is a comment section at the end where you can tell us anything else that you feel we may need to know to complete this process.

 

Submit Meter Readings Page - Pubpagbyrpg Org 010101 Revision 10/19/12 Rev A Set 1 of  Hit Counter