Your Name*

Your Address*

Subdivision or Cross-Street

Your Builder

Your Phone*

Your Email*

PHONE/CABLE/DATA

Will you have a home phone/land line?
 Yes No

Will you be hanging a TV(s)?
 Yes No

Will you be using a modem or wireless connection?
 Modem Wireless

Will you have high definition (HD)?
 Yes No

What communications (TV/Internet/Phone) provider(s) will you be using?

SECURITY

Motion Detector vs Glass Break
 Motion Detector Glass Break Both

Keypad Locations
 Front Door Garage Door Master Bedroom Other

Will you have land line?
 Yes No

AUDIO DISTRIBUTION/WHOLE HOUSE MUSIC

What rooms in your house would you like to have music?
 Family Room Bedrooms Bathrooms Garage Patio Basement

What do you and your family listen to?
 AM/FM Radio Ipod Pandora Other

SURROUND SOUND

Surround Sound Package?
 7.1 (3 front speakers, 2 mid speakers, 2 rear speakers, 1 subwoofer)
 5.1 (3 front speakers, 2 rear speakers, and 1 subwoofer)

What room(s) would you like to have surround sound?
 Great Room Rec Room Theatre Room Other

What do you and your family like to watch?
 Movies Sports Music Videos Sitcoms Other

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