Form SSI terminal

Name and Addresse

Name:	^*
First name:	^*
Street:	^* House number
Residence:	^*
Country:	^*
E-Mail:	^*
Phone number:
	* - these informations are required.
Features of the Terminal SSITERM
Color of the display:	(*red* - standard)
Number of digits:
Number of keys:
Color of cabinet:	(*beige* - standard)
SSI driver (SPS):	*Language*