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First Name *
Last Name *
Company *
Email
*
Telephone *
Total Fiber Length (km) *
Enclosure Type *
Single Spool (25km max)
Double/Wide Spool (50km max)
Multi-spool (100km max)
Specialty (launch box, etc)
Fiber Type
*
Corning SMF-28e+
Corning ClearCurve
Corning LEAF
Draka Single Mode
Draka BendBright
OFS AllWave
OFS AllWave Flex
OFS TrueWave Reach
OFS TrueWave RS
OFS TrueWave Classic
Dispersion Compensated
Other
Connector Interface *
SC
FC
LC
Other
Additional Comments
