Contact	Company
Phone	Address
Mobile Phone	Address2
Email	City
Site/Job Name	State   Zip

Bin Weighing

Number of Bins

Max Bin Weight (lbs)

Bins/House or Barn

Number of Houses or Barns

Style of Legs (check all that apply)

Standard 'W' Angle Tube Structural I Beam Other (Send Photo)

Bin Manufacturer

Would you like to interface to a house or barn controller?

Yes

No

Site Communications

Do you want to collect data from the bin clusters to a site office?	Yes	No
Will you require an output to a site server?	Yes	No

Remote Data Collection

Do you want to use remote data collection?	Yes	No
If 'YES', please select remote collection option?	BinLINK Inventory ONLY	BinSERVE Enterprise Solution

Type of Service?
Dial Up  Requires Data Qaulity Phone Line	Internet  Requires Static IP Address	Cellular  HerdStar 'Always On' Data Only Connection

BinTrac Feed System Manager (FSM)

Do you want to use BinTrac FSM* to manage your site?	Yes	No
(*Requires BinSERVE Remote Data Collection, Not Compatible with BinLINK)

Addtional Information