Pilot Request

Company Name

UEN No.

GST Registration

Industry

For event

For construction site

For own premises outlet

For own premises building

For security

With intercom

1 to 5

1 to 10

11 to 20

More than 20

Immediate

In the coming week

2 to 4 weeks time

1 to 3 months time

After next quarter

Looking at rental basis short term (less than a month)

Looking at rental basis long term (more than a month)

To purchase one off payment

To purchase in installment plan

To make decision after the pilot trial

Date of Signature:

Designation:

Authorised Name