OPTICON INFORMATION REQUEST

LG2 QUICK CONNECT CODE REQUEST
(*) Denotes a required field.
IMPORTANT: If you choose to not provide this information, we will be unable to respond to your request.

Please select the product line you are inquiring about:	Product Family:
*ENTER BLUETOOTH ADDRESS FROM HOST DEVICE OR BLUETOOTH ADAPTER:	Enter Bluetooth Address Here.
*First Name
*Last Name
*Company
Website
*Email
*Phone
Fax
Address
City
State/Province
Zip
Email Opt Out	Opt Out
Fax Opt Out	Opt Out
	If you need any assistance determining your Bluetooth Address or in obtaining your Quick Connect Code, please contact Opticon Support at 1-800-636-0090