EnTouch 661 N. Plano Rd. Ste #323 Richardson, TX 75081 entouchcontrols.com [email protected] t: 800.820.3511 Equipment Order Processing Form Submission Date: 05/03/2023 Requested By: PEPE GRILLO Date Required: 07/03/2023 Sales - Opportunity Name: ■ Service - Case Number: Other (Requires COO / CFO Signature): Additional Info (P.O. # / Reference# / etc. if needed): Ship to Company: T MOBILE 8557 Street Address: 21 REVERE BEACH PARKWAY City, State, Zip: PARKWAY Contact Name: ELIAS RIVERA Contact Number: 781-396-0569 Shipping Type: ■ Ground MA 02155 ■ Two Day Next Day Product Information: Type: Sensor - Remote Temperature Select... Qty: 1 Cost/per: $ Type: Select... Select... Qty: Select... Cost/per: $ Type: Select... Select... Qty: Select... Cost/per: $ Type: Select... Select... Qty: Select... Cost/per: $ Type: Select... Select... Qty: Select... Cost/per: $ Type: Select... Select... Qty: Select... Cost/per: $ Cost/per: $ Type: Select... Select... Qty: Select... Type: Select... Select... Qty: Select... Cost/per: $ Type: Select... Select... Qty: Select... Cost/per: $ Approved Date: Approver Name: Approver Signature: Pick-up