IP ACCESS FIRSTSAT CONNECTIVITY ORDER FORM

To submit the connectivity order form:

Complete the connectivity order form below.
Upload and submit your purchase order along with this completed form. Kymeta cannot process your connectivity form without a corresponding purchase order.

If you have any difficulty using this online form or want to email your purchase order, contact Kymeta at KGDPurchaseOrders@kymetacorp.com .

COMPLETE IP ACCESS FIRSTSAT CONNECTIVITY ORDER FORM
END CUSTOMER
SUBMITTER NAME*
First Last
SUBMITTER EMAIL*
PURCHASE ORDER NUMBER*
UPLOAD PURCHASE ORDER
Max. file size: 50 MB.
TERMINAL STATUS*
Already Shipped means the terminal has already shipped to you or elsewhere. You will need to provide serial number(s).
New Terminal Order means the terminal is being ordered and has not yet been shipped by Kymeta.
ACTIVATION DATE*
MM slash DD slash YYYY

Option files will be provided prior to this date.
COMMISSIONING CONTACT NAME*

Option files will be delivered to this contact.
COMMISSIONING EMAIL*
COMMISSIONING PHONE
TIME ZONE
NOTES (If any)
TERMINAL INFORMATION
- Serial numbers are required for all already-deployed Kymeta terminals and can be found on the terminal label or on the terminal box.
NUMBER OF TERMINALS*
Number of terminals being added on this form.
Please enter a number from 1 to 10.
TERMINAL 1
SAT MODEM MAKE/MODEL*
MODEM 1 SERIAL NUMBER*
TERMINAL 2
SAT MODEM MAKE/MODEL*
MODEM 2 SERIAL NUMBER*
TERMINAL 3
SAT MODEM MAKE/MODEL*
MODEM 3 SERIAL NUMBER*
TERMINAL 4
SAT MODEM MAKE/MODEL*
MODEM 4 SERIAL NUMBER*
TERMINAL 5
SAT MODEM MAKE/MODEL*
MODEM 5 SERIAL NUMBER*
TERMINAL 6
SAT MODEM MAKE/MODEL*
MODEM 6 SERIAL NUMBER*
TERMINAL 7
SAT MODEM MAKE/MODEL*
MODEM 7 SERIAL NUMBER*
TERMINAL 8
SAT MODEM MAKE/MODEL*
MODEM 8 SERIAL NUMBER*
TERMINAL 9
SAT MODEM MAKE/MODEL*
MODEM 9 SERIAL NUMBER*
TERMINAL 10
SAT MODEM MAKE/MODEL*
MODEM 10 SERIAL NUMBER*

COMPLETE IP ACCESS FIRSTSAT CONNECTIVITY ORDER FORM