Evaluation Request Form evaluation request form Customer Information Requester Name * Email Address * Phone Number * Student Name School Board School Name Ship To Address * City * Province * Postal Code * Attention To * Product Information Product * Audita II FM Ranger Sprek Audita Solo or Duo Solo Duo Audita Quantity Ranger Quantity Sprek Quantity Transmitter / Microphone Substitutions (Please specify) Additional Accessories (Audita / Sprek tote bag, Ranger charging cradle, etc.) Any Additional Notes reCAPTCHA submit