UDI Plugfest Equipment Form

Name: _______________________________________________________________

Company: ____________________________________________________________

Please fill out an entry for every box shipped or brought to the UDI
interop event March 19-23, 2001, at Unisys in Salt Lake City.  Please
indicate power requirements if not less than 400W and 110V.  Print
and submit with your registration form.


Item description: ___________________________________________________

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Shipping method: __________________________      Box ______ of ______


Item description: ___________________________________________________

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Shipping method: __________________________      Box ______ of ______


Item description: ___________________________________________________

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Shipping method: __________________________      Box ______ of ______


Item description: ___________________________________________________

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Shipping method: __________________________      Box ______ of ______


Item description: ___________________________________________________

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Shipping method: __________________________      Box ______ of ______