RFID Customer Qualification Form Please fill out the following form to request more information regarding the ICE RFID system. Customer Contact Information Company * Location * Point of Contact * Title Address Phone Email * RFID System Information Is there an existing RFID system? Yes No Is the existing system EMS? Yes No EMS = Datalogic / Escort Memory Systems Is there a plan for replacement? Yes No If yes, what is the timeframe? If EMS, what system or interface modules are used? List items like the EMS CM42 interface module Does a tag map exist? Yes No A tag map defines what data is stored in each memory address location of the RFID tag What is the current PLC platform or controls architecture used? Is the Ethernet connectivity available throughout the line? Yes No Are there any auxiliary devices that require connectivity? Yes No If so, what communication protocols?