Order Form- Lynx Wall Mounted Panic Buttons.pdf

This is an Order Information Form for a Lynx Systems wireless panic button device. The part number is LYNX-WLT-IDPNC-2, and the product is a Lynx Wireless Transmitter Panic Button, Indoor model with cover. The device is intended for the US Department of Veterans Affairs as the end user.

The form allows customization of multiple elements. The shell color options include Red, Green, Yellow, White, Blue, and Orange, with Blue currently selected. Custom vinyl labels are available in black and white only, with black as the standard for yellow, white, and orange shells, and white as the standard for blue, red, and green shells. The customization includes three text areas: the top of the shell (2 lines, 20 characters each), the bottom of the shell (1 line, 20 characters), and the cover text (2 lines, 40 characters each). The form shows sample text including "EMERGENCY" for the top, "POLICE" for the bottom, and "IN CASE OF EMERGENCY" and "LIFT COVER - PUSH BUTTON" for the cover. The form includes fields for the End User Company Name (populated with US Department of Veterans Affairs) and Dealer Name, though the dealer information is blank.