Access card test request – Interlogix Topaz User Manual User Manual
Page 203
Chapter 8
Setup
185
Access Card Test Request
Log #________________
Dealer:______________________________________________________Date:_______________
Street: _________________________________________________________________________
City:_____________________________________________State:_______Zip Code:___________
Salesperson:__________________________________________________Fax:_______________
Phone:________________________________Ext:_________Email: ________________________
End User:_______________________________________________________________________
Street: _________________________________________________________________________
City:___________________________________State:______________Zip Code:______________
Card Information - Please provide as much information as possible.
Use back of form for any additional information. UTC Fire & Security is testing the card samples/
readers based upon the information submitted. While we will do our best to provide a solution. It is not
possible to guarantee all cards in the prospective database will be compatible.
Number of Cards Sent (minimum of three):_______Return Cards?* Yes__No__
*Our normal policy is to archive cards for future reference unless otherwise instructed.
Current Access control System: ___________________________________________________
System Requirement: S10__Sapphire/Sapphire Pro__ D2__ Diamond__ Photobadging__ Topaz__
Card Technology: (circle all that apply)
Mag Stripe Track: One ___Two___Three___ Other___________ Encoder ____________________
Bar Code Format (symbology type):_____________________ Reader Make/Model ____________
Wiegand
Prox Type: HID___Indala___ Cotag___ Keri___ Smartcard ___Other ________________________
Barium Ferrite____ Cardkey____ Casi-Rusco____ Proprietary:_____________________________
Other __________________________________________________________________________
Total Number of Bits/Digit on Card:__________Field Separators? ___________________________
Is Encoded Card Number shown on card: Yes___ No___ Where?___________________________
Mail to: UTC Fire & Security - Card Testing (Sales Engineering)
791 Park of commerce Boulevard * Suite 100 * Boca Raton * Florida * 33487 * 561 - 998-6100