customer information
Name Date
Street Organization
City Telephone
State/Province Facsimile
Zip Code Project
Country Revision
E-mail    

system configuration information
Frequency Diversity
Terminal Radio Manufacturer
Terminal Radio Model
Traffic Capacity
Frequency Band ( GHz ) 1.5 to 11 GHz
RF Channel Bandwidth ( MHz ) Typically 800 kHz to 40 MHz
Frequency Diversity Spacing ( MHz ) If Frequency Diversity is used
Location Names
Term. A
 Rptr.
 Term. B
Path Length Source
Coordinate method ( please choose Coordinate Method or Direct Entry Method below )
Site Latitude : ( DDD MM SS or DDD.dddddd )
Term. A
 Rptr.
 Term. B
Site Longitude : ( DDD MM SS or DDD.dddddd )
Term. A
 Rptr.
 Term. B
Site Elevation : ( ft / mtr )–
ft mtr
Term. A
 Rptr.
 Term. B
 
Direct Entry method
Path Length (Mi / km ) –
Mi km
Terminal A to Repeater
 Terminal B to Repeater
  
Radio Frequencies
Transmit Frequency (MHz)
Terminal Radio A
 Terminal Radio B
  
Antenna Size and Type ( ft / mtr ) –
ft mtr
Term. A Rptr A. Rptr B. Term. B
Feeder Length ( ft / mtr ) –
ft mtr
Term. A Rptr A. Rptr B. Term. B
Feed Point Separation ( ft / mtr ) –
ft mtr
Repeater Antennas
    
Transmit Branching Loss( dB ) –
Terminal A Terminal B  
Receive Branching Loss ( dB ) –
Terminal A Terminal B  

radio and reliability information
Anolog
Digital 		Modulation Type

Other Modulation
Transmit Power ( dBm ) – Terminal A Terminal B
Receiver Threshold ( dBm ) ( dBm ) – Terminal A Terminal B
Receiver Noise Figure ( dBm ) – Terminal A Terminal B
Dispersive Fade Margin ( dBm ) – Terminal A Terminal B
One Way Path Objective ( % ) – Terminal A Terminal B
Remarks

terrain and climate conditions
Describe
Terrain roughness, ( W ) –
ft mtr
(Example: W is the standard deviation of periodic height samples from the path profile. Typical W, ( ft ) values are: Flat, Over-Water = 29; Average Terrain = 50; Mountainous = 85 )
Mean temperature, degrees ( F / C ) –
F C
Mean Temperature-

power system configuration
Is commercial AC power available at the repeater site? ( Yes / No ) –
Y N
Is Solar Electric (PV) power desired at the repeater site? ( Yes / No ) –
Y N
Weather conditions and available sunlight affect solar power designs. Solar Electric power systems are normally designed for 7 to 10 days of autonomy (little or no sunlight). Please describe the repeater site weather conditions and any special considerations.
Describe
Lowest Temperature over a 24-Hour Period ( F / C ) –
F C (for battery selection)
Repeater Site low battery temperature