IASUS CONCEPTS

PRODUCT EVALUATION REQUEST

We appreciate your interest in testing our products. The purpose of this application is to allow iASUS Concepts Headsets to loan your organization/unit/team our equipment for testing and evaluation purposes for a period of 30 days.

Terms and Conditions:

1. The duration will not exceed more than 30 days without prior authorization from iASUS Concepts.
2. The evaluation will be done inside the United States and cannot be transported outside of the US without expressed consent of iASUS Concepts.
3. The individual receiving the product is responsible for loss or damage incurred outside normal “wear and tear” during testing. The equipment should be returned in good working condition.
4. The requesting agency may be billed if it is deemed there is a violation of the terms and conditions stated in this agreement.
5. The requesting agency or evaluator(s) agree to provide feedback via iASUS Concept’s online AAR form, which can be found on their website homepage.

By clicking "Yes" you agree to the above Terms and Conditions*
- Yes
- No
Planning Information
What headsets are you currently using?*
Have you tested other headsets?*
Have you been given pricing for the products you want to eval?*
- Yes
- No
Do you currently have budgeting in place?*
- Yes
- No
Do you plan on applying for funding or grants?*
- Yes
- No
When are you expecting to purchase?*
What method do you use for purchasing?*
What is the possible size/qty of your purchase if successful?*
What is the training or evaluation date you would need the products by?*
MM slash DD slash YYYY
If you answered "No" to any of the above questions, briefly describe why.
Evaluator Contact Info
Rank/Title
Name*
First Last
Email*
Phone*
Agency/Organization*
Division/Department*
Supervisor Contact Info
Rank/Title
Name*
First Last
Email*
Phone*
Ship To Address
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Product and Application Info
Evaluation Headset/System**
Push-to-Talk (PTT's)
Application Type*
Primary Radio/Device Make/Model*
2nd Radio/Device/ICS

If using ICS please call out specific vehicle/AC
3rd Radio/Device/ICS

If using ICS please call out specific vehicle/AC
Radio Network Type
General Comments
Consent*
I agree to the privacy policy.
By clicking "Submit" you understand that the equipment is being sent for temporary loan and you agree to the terms and conditions as stated in this document. You also understand, that you are responsible for the equipment being provided by iASUS Concepts and it's timely return upon completion of your evaluation. You understand that failing to return the equipment in a timely manner will result in an invoice and a copy of this agreement being sent to your agency for collection.
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IASUS CONCEPTS

PRODUCT EVALUATION REQUEST

Planning Information

Evaluator Contact Info

Supervisor Contact Info

Ship To Address

Product and Application Info

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