DEALER NAME:
CUSTOMER:
DATE:
SALESMAN'S NAME:
PHONE NUMBER:
EXPECTED CLOSE DATE:
EMAIL:
HOW MANY BUILDINGS ARE INVOLVED: 1
2
3
Other
WHAT TYPE OF FACILITY IS IT:
WILL YOU USE CAT 5 OR IS SIAMESE ACCEPTED: CAT 5
SIAMESE (RECOMMENDED)
LONGEST CABLE RUN (APPROX):
ANALOG: Y
N
IP: Y
N
POE: Y
N
FRAME RATE DESIRED PER CAMERA: 7.5
15
30
Don't Know
# DAYS EXPECTED TO KEEP STORED VIDEO ON DVR:
RAID/REDUNDANCY REQUIRED: Y
N
PTZ: Y
N
PTZ KEYBOARD: Y
N
HOW MANY CAMERAS INSIDE:
  DESCRIBE ENVIRONMENT (Ex: WALL OR CEILING MOUNT,
  DROP CEILING, WAREHOUSE, ETC...)
HOW MANY CAMERAS OUTSIDE:
HOW MANY CHANNELS ON DVR: 4 CH
8 CH
16 CH
24 CH
32 CH
48 CH
64 CH
IS THERE GOOD LIGHTING ON INSIDE CAMS: Y
N
IS THERE GOOD LIGHTING ON OUTSIDE CAMS: Y
N
CONSIDERATIONS FOR LIGHTING:
WILL LOW LIGHT WORK OR IS INFRARED NEEDED: LL
INF
CONSIDERATIONS:
DVR TYPE: EZ REAL
EZ PRO
MATRIX
8000
HDVR
HDVR
Don't Know
RACKMOUNTABLE: Y
N
AUDIO: Y 4+
Y 1-4
N
IS THERE INTERNET CONNECTIVITY AT LOCATION: Y
N
IS THERE ANY EXISTING SURVEILLANCE EQUIPMENT: Y
N
IF SO WHAT:
WILL ANYTHING STAY:
NOTES:
  Please describe any additional requirements,
  camera views, special needs.