AFC Engineering Services Request

Engineering Services Request
Name of person authorizing changes
Bill to:
Name
Email
Title
Agency/Company
Contact Phone
Address
City
State
ZIP

Pre-coordination Range Search / $125 Single Frequency Search / $100 Combination Search / $150 Site Search / $75	Propagation Contour / $125 Matrix / $100 Interference Analysis (contour) / $100 Interference Analysis (matrix) / $125
Value Pak Combinations Range, single frequency search, Inter analysis / $195 HAATS $25 per site # sites DHAATS $100 per site # sites	TX noise / RX dense / Intermod Studies Per study / $300 per hour $3000 minimum per site Waiver Letters Cost To be determined by Engineering Staff
TV Band Pass/Fail Calculations / $125 per site/freq # sites/freq Short Spacing includes Waiver / $650	Canadian Rejection Studies $200 per site/freq # sites/freq
Discounts 10% Member Discount Member Number APCO ID #	Totals (click box for total) Cost $
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