Quote Request and Customer Requirements Sheet

To request a quote, please fill out the top items in bold.   Submit the form, and someone will respond within 1 business day. 

You can also call us at 1-866-701-2020 or fax this form to 1-512-301-6633

Quote Request
Name:
Company:
Company Address:
City/State/ZIP
Your Email:
Your Ph. #:
Your Fax:
Name/Location of Project:
Estimated Job Duration :
Any other project notes:
Additional Information: Installation Punchlist required by Customer prior to installation
120 VAC electricity within 30 feet of camera mount  - in outdoor enclosure
Active Cat5 data cable within 30 feet of camera mount - can be in same outdoor enclosure as power .  Line of Sight- required for wireless bridge cameras in lieu of Cat5 cable.
Mount location and access (wood pole, wall, parapet, ladder, lift etc. provided by Customer) - please specify mount type.
Internet Service Provider: (e.g. Time Warner, BellSouth):
Internet Service Provider Contact #
DSL ph. # at site (if applicable)
Internet Account # on bill (for tech support)  e.g. 555-555-555-xxx (DSL # + extra digits)
Static IP at site (for live video cameras only)
Administrative access to router, or IT staff available -(User/Password )
Site/Shipping Address:
Billing Address:
Any other project notes:
BOLD fields are required.