AES-Intellinet - Blanket Order Change Form

Blanket Order Change Forma

Customer Information

Name
AES-Assigned Customer Identifier
Email Address
Organization
Street 1
Street 2
City
State
Zip
Country
Phone
Fax

AES is authorized to change our standard Master Dealer Blanket Order for the remainder of the term of our Master Dealer agreement to the following:

A. Monthly Product To Be Delivered For Remainder Of Agreement Term
(identify quantity of each with a minimum total that meets the terms of your Master Dealer agreement)

Quantity	Product Number	Product Name
	7450	4 Zone General Subscriber Transceiver (small box)
	7450-XL	4 Zone General Subscriber Transceiver
	7450-XL-RAD	4 Zone General Subscriber Transceiver (Radionics Interface)
	7050-E	8 Zone General Subscriber Transceiver
	7050-DLR	8 Zone General Subscriber Transceiver (Output Relay Capable)
	7050-E-RAD	8 Zone General Subscriber Transceiver (Radionics Interface)
	7750-F4	4 Zone UL/NFPA Subscriber Transceiver
	7750-F8	8 Zone UL/NFPA Subscriber Transceiver
	7750-UL	16 Zone UL/NFPA Subscriber Transceiver

Comments

B. Change Monthly Delivery Date For Remainder of Agreement Term
(Check One)

1st week of the month
2nd week of the month
3rd week of the month
4th week of the month

C. Effective Date of Order Change (applies to the next delivery after this date)

Effective Date:

One Time Only (and revert to earlier standing blanket order)
All Ongoing Orders (unless changed, this blanket order change will continue monthly)

D. Acceleration/Deferment of Monthly Delivery With This Change
(Master Dealer contract limits shipment deferments to a maximum of 2 months during the duration of the agreement):

Accelerate (move-up) standard delivery by weeks.

Delay standard monthly delivery by weeks. (8 weeks max.)