CCVT Surveillance Camera System Quote Request

SURVEILLANCE SYSTEM QUOTE FORM

Please use the below form to request a quote for a surveillance system. We understand that you may need assistance in making some decisions in regards to the number of cameras needed, type of cameras needed, placement, etc. Please describe your needs as best as you can and let us know how you would like for us to get back in touch with you.

Please feel free to fill out this form and click submit or if you prefer you can print and fax this form to (714) 899 – 2845 or call us toll free (800) 531 - 4POS (4767) and speak with a friendly and knowledgeable representative.

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Business Information
Business Name*
Address Street 1*
Address Street 2
City*
State*
Zip*
Contact Person
First Name*
Last Name*
Title
Contact Information
Daytime Phone*
Evening Phone
Email*
Business Type
Business Type*
Number of Locations*
Security Camera Requirements
How many indoor cameras will you need?*
How many outdoor cameras will you need?*
Please add any special needs or circumstances related to your security camera requirements here:
Surveillance DVR Requirements
How many days of video recording do you require the DVR to support?*
Do you plan on accessing your security cameras remotely over the Internet?*
Please optionally add any special needs or circumstances related to your digital video recorder (DVR) requirements here:
Installation Requirements
Will you need any cables for your cameras that are longer than 150 feet?
Where will this system be installed?
If other, please specify:
Please optionally add any additional notes here:
Other Information
Comments
	Please enter the above code below:
Agree	Yes, I would like a free estimate. I authorize SunrisePOS, Inc. to contact me in regards to this request form.