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Active Vision Inc.
711-6 Koehler Avenue
Ronkonkoma, NY 11779
9am - 6pm EST M - F
(631)585-0088
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Customer Information
Name:
Phone #
Business Name:
Phone2 #
Address:
Fax #
Address(cont.):
City:
State:
Zip/Postal Code
E-Mail:
Project Information
Please choose from pull-down menus
1.
How would you best describe your current CCTV needs?
We are looking for a new system
We are looking to expand our current system
We are looking to replace our current system
2.
For what type of location are you looking for a video surveillance system?
Commercial Office Location
Convenience store
Industrial/Manufacturing Facility
Institutional (i.e. Education, Government, etc.)
Laundry Mat, Dry Cleaning
Medical (i.e. Hospital, Clinic, etc.)
Residental (Home Owner)
Retail Location
Restaurant/Bar/Night Club
Other
3.
Approximately how many surveillance cameras are you interested in?
1-4
4-8
8-12
12-16
16+
4.
Where will the video surveillance cameras be located?
Indoors Only
Outdoors Only
Both Indoors and Outdoors
Not sure
5.
What is the approximate square footage of this location?
0 - 2,499 sq.ft.
2,500 - 4,999 sq.ft.
5,000 - 9,999 sq.ft.
10,000 - 49,999 sq.ft.
50,000+ sq.ft.
Not sure
6.
What is your estimated budget for this system?
Less than $2,000
$2,000 - $4,999
$5,000 - $9,999
$10,000 - $24,999
$25,000+
Not sure
7.
What is your buying timeframe for this system?
ASAP
1 - 2 Weeks
2 - 4 Weeks
1 - 2 Months
2+ Months
Not sure
8.
Please describe any additional requirements or questions you may have
Please enter the following code into the box provided: