ERI FM Directional Antenna Form

FM Directional Antenna Questionnare

Would you like us to a quote an FM directional antenna? Please provide us with as much of the following information as you can. We will get back with you as soon as possible.

Contact Information
Name
Position
Organization
Work Phone
FAX
E-mail

Station Information:
Station Call Letters
Frequency	MHz
City, State/Province
Maximum ERP	kW
Zip/Postal code
Country

Structure Information:

Are you planning to mount the antenna on an existing structure?
Yes	No

What is the face width of the structure you plan to use?

< 24 inches (61 cm) or smaller

Larger than 24 inches (61 cm)

Let us know what is best

Are guy wires in the antenna aperture or above it?

Yes

Let us know what is best

Tower Co-Ordinates:
Longitude:
Latitude:

Antenna Height:
Above Mean Sea Level:	Meters
Above Ground:	Meters

Other Information:
More details: High wind or ice zone, other unusual conditions, etc.

Pattern Information:

....System Gain:

Front/Back ratio:

Bearings and Distances to Areas that Coverage is Needed

Special Pattern Requirements:

If USA, has the pattern been filed with the FCC?
Yes	FCC ID#
No