Registration Form for Security Professionals

Are you a security professional who is interested in receiving the latest  information about any of the Essex products listed on this web site?  Are you interested in becoming an authorized dealer or installer of Essex products?  Simply fill out the registration form below to receive information on various products manufactured by Essex Electronics, Inc.  
 
Contact Information
(* = Required Fields.  Note: Use the TAB key to go from one field to the next)
Mr.   Mrs.   Ms.
First Name*:
Last Name*:
Company*:
Title:
Address 1*:
Address 2:
City, State, Zip*:
Country:
Telephone*:
Fax:
Web Site:
E - Mail*:
Serviced Area*:
 
What is your company's primary business?  (You may select more than one)
Residential / Commercial Access Control
   Locksmith Dealer
   Access Control Dealer
   Distributor of Access Control Products
   System Integrator
   OEM
Elevator Access Control
   New Construction Sales
   Elevator Modernization
   Maintenance Supervisor
   Maintenance Technician
   OEM
Vehicle Access Control
   Automotive Accessories Installer
   New Automotive Dealership
   Automotive Electronics Distributor
   RV Dealer
   OEM
Other
   Industrial/Process Controls
   Building Owner
   Property/Facilities Manager
  
 

 How did you find the Essex web site?

      I found keyless.com by searching on the Internet
            Google     Yahoo     MSN     AOL    Other
      I found keyless.com on an Essex advertisement/literature
      I contacted Essex directly for the web site address
      A colleague referred me to keyless.com
      A customer referred me to keyless.com
      Other
 

Are you familiar with Essex Products?

No, I am not familiar with Essex however I am interested in learning more about the product line
Yes, I am familiar with Essex however my company has never purchased/offered any products
Yes, my company has experience selling/installing the following Essex Products:
   KE-100 Series (KE-100, KE-125 or KE-150) 
   KE-200 Series (KE-250, KE-260 or KE-265) 
   KE-300 Series (KE-301, KE-302, KE-303, KE-325 or KE-350)
   KTP Series (Wiegand, 8 Bit Word, ABA, BCD, X-Y Keypads)
   Automotive Series (KE-1500, KE-1600 or KE-1700)
   Elevator Systems (KE-1000, KE-1100, KE-1200 or KE-1900)
 
Are you interested in becoming an authorized dealer and/or installer of Essex Products?
Yes     No
 
If you are approved as an authorized dealer/installer, would you like to be included in the distribution section of this web site?
Yes      No
   
Requested Information
Keyless Entry Access Control Systems and Accessories (You may select more than one)
   K1 Series All in One Keypad Reader & Stand Alone Access Controller (500 User Codes, 3 O.C. Outputs)
   SKE-6 Self Contained Keyless Entry Keypad  (6 User Codes, 1 Relay, 2 Grounding Outputs)
   SKE-34 and SKE-26 Self Contained Keyless Entry Keypad  (500 User Codes, 1 Relay, 2 Grounding Outputs)
   KE-265 Stand Alone Keyless Entry System (6 User Codes, 2 Relays)
   KE-350 Stand Alone Keyless Entry System with time zones (500 User Codes, 3 Relays)
   K-Prox Dual Technology, Stand Alone Access Control Keypad + HID Proximity (500 Users, 3 Outputs)
   K-Smart Dual Technology, Stand Alone Access Control Keypad + HID iCLASS (500 Users, 3 Outputs)
   KE-1600 Keyless Entry for automotive applications (cars, light trucks, vans and SUV's)
   KE-1700 Keyless Entry for larger vehicle applications (RV's, Trucks and commercial vehicles)
   Elevator Systems Keyless Entry for Elevator applications
   Piezoelectric Switches Illuminated, Vandal Resistant, Piezoelectric Switches
 

Single and Dual Technology Readers

   K1 Series All in One Keypad Reader (26 Bit Wiegand, 8 Bit, Serial ASCII, more) & Stand Alone Access Controller
   KTP Series (12-Pad 3x4 and Thinline 2x6) - Single Output Reader (26 Bit Wiegand, 8 Bit Word, X-Y, Serial ASCII)
   PiezoProx® - Dual Technology Keypad/Proximity Reader (HID 125kHz Proximity)
   iSMART™ - Dual Technology Keypad/Smart Card Reader (HID 13.56MHz iCLASS)
 

General (You may select more than one)

   Company Information
   Product Overview (Residential & Commercial Access Control Systems, Single and Dual Technology Readers)
   Product Description and Pricing Guide (Residential & Commercial Access Control Systems, Single and Dual Technology Readers)
 
Requested Method
How would you like to receive the requested information? 
   Send information electronically by email
   Send information by Mail
 
Future Mailings
Would you like to be receive any of the following? (You may select more than one)
   Essex Product Announcements/Literature via email
   Essex Product Announcements/Literature via regular mail
   Information about Essex Product Promotions
  
Immediate Contact
Would you like to be contacted by Essex Electronics? 
   By Essex Sales/Customer Service
   By Essex Technical Support
   Send me Literature then contact me
 
Comments
Please provide any questions/comments/suggestions here:
 

Essex Electronics respects your privacy.  The information submitted on this form will only be used by Essex Electronics and Authorized Essex Representatives. This information will not be sold or distributed to third parties.

 

Up, Up and Away!!!
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Essex Electronics, Inc.
1130 Mark Ave. Carpinteria, CA 93013
1-800-KEYLESS or 1- 805-684-7601
Email:essex@keyless.com Web:
www.keyless.com
Copyright © 1996-2008 Essex Electronics, Inc.
Keyless Entry® and PiezoProx® are registered trademarks of Essex Electronics, Inc.
iCLASS® is a registered trademark of HID Corporation
iSMART™ is a trademark of Essex Electronics, Inc.

Last modified: June 13, 2008
Essex Electronics, Inc.
Proud to be a U.S. Corporation