Quote Request Form

This information will help us determine the type of system you are looking for. The answers are optional. The information provided will only be used to help us provide a quote and will be held confidential and not be sold to third parties. Information presented here is emailed directly to SURVEILLANCE CAMERA SYSTEMS and will be held confidential, will not be sold to third parties and will not be used for any other purpose.

Please provide the following contact information:

Name

Organization

Street Address

Address (cont.)

City

State

Zip

Work Phone

FAX or Cell

E-mail

Please describe your current video surveillance needs:

We are looking to purchase a new system
We are looking to expand our current system
We are looking to replace our current system

What type of Video surveillance system are you interested in?

No preference please recommend
DVR (Digital Video Recorder)
Analog
Other

Where will the Cameras be located. Select any of the following options that apply:

Indoors
Outdoors
Hidden
Not sure

What is most important to you when selecting a video surveillance system? Select any of the following options that apply:

Price
Service (installation, Training, and Support)
Ease of use (user Friendliness)
Scalability
System reliability
Remote Backup
Functionality (pan, tilt, zoom)
Remote Viewing, control (Internet, phone line)

Please describe any additional requirements, how many cameras you think you need and any special capabilities you require for your system:

Quote Request Form

Surveillance Camera SystemsCopyright © 2005 [Totally Hidden Video.com]. All rights reserved. Revised: 05/01/07

Surveillance Camera Systems
Copyright © 2005 [Totally Hidden Video.com]. All rights reserved.
Revised: 05/01/07