MMR Request Form
ACSI Chicago - Technician Material Request Form
You DO NOT have to fill every item below, skip and fill those that are needed.
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AWG GROUND WIRE
Barrels
Bushing - Black
Bushing - White
Cable Tie, 8" Black (Tie-Wrap)
Cable, Coax RG-6 Box Quad (WH) Spool of 500ft
Cable, Coax RG-6 Box Quad (BL) Spool of 500ft
Cable, Coax RG-6 Messenger Reel 1,000' Spool
Clip, 7mm Black RG-6 ( 100 Per Box )
Clip, 7mm White RG-6 ( 100 Per Box )
Clip, Siding TVCG-1 Horizontal (100 Per Bag )
Connector, PCT-DRS-11 (RG11 Fittings)
Connector, RG59
Connector, RG6 Fittings (50 Per Bag)
Connector, Scotchlock for Phone (100 per Box)
CORD, 15' Telephone Jumper
Directional Coupler, 4db L-Type
Directional Coupler, 6db L-Type
Directional Coupler, 9db L-Type
Directional Coupler, 12db L-Type
Directional Coupler, 16db L-Type
Drop Hangers
Enclosure, House Box (Gray)
Ground Block
Hook, 4 1/2" "P" Long (200 Per Box)
Locking Terminator PPLT-LR (50 per bag)
Phone Splitter (25 Per Bag)
Phone Splitter 2 Lines to 3 Jacks (10 Per Bag)
Phone Splitter 2 Lines to 3 Jacks (10 Per Bag)
Q Span Clamp
RJ-11 Connector ( 100 Per Bag )
RJ-45 Connector ( 100 Per Bag )
Screw, 1" Hex Hed Zinc & Dichromate
Screw, 1" Anchor (Plastic)
Sealer, Rubber Silicone Sealant 2.8oz
Splitter, 2 way Drop (Horizontal)
Splitter, 3 way Drop (Horizontal)
Splitter, 4 way Drop (Horizontal)
Strap, 12" Copper Ground
Strap, 12" Galvanized Ground
Tag, Writeable Tap Lock (Black)
Tag, Writeable Tap Lock (Blue)
Tag, Writeable Tap Lock (Red)
Telephone Surface Jack (Biscuit)
Wallplate, Flush Mount Plastic W/F81 (White)
Weather Boots/Thread Protectors
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