CCTV Site Survey Form

CCTV Site Survey Form

Please fax completed form to our sales department at 864286-4942. Or call 1-800-964-8994 with any questions. questions.

How would you describe your current video surveillance needs? Looking for a new system Looking to expand current system Looking to replace current system System Application Indoors only Outdoors only Both indoors and outdoors Not sure Location of Cameras - indicate number required at each location. Interior  Parking Lot Perimeter Hallways Building Other ( please specify)

Will any of these be Pan/Tilt/Zoom (PTZ) cameras?

Yes (please indicate qty)  No Total number of cameras your system will require 1-3 4-7 8-15 16-31 32+ (please specify) What lighting conditions will you need to record in? Daylight/continuously lit

Night Day and Night Not sure Lens type (specify qty of each) Wide Angle Normal Telephoto Camera Housings/Brackets Housings/Brackets (specify qty of each) Indoor Outdoor  Camera Mounting (specify qty of each) Wall Ceiling

Customer # Name Phone number Email address

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Camera Power 120VAC 24VAC 12DC Is Vandal proofing required? Yes No What transmission method will you be using? Coaxial Fiber Optics Twisted Pair   Not sure What are your DVR storage requirements? 5-10 days 10-30 days 30-45 days 45+ (please specify) Do you require IP cameras? Yes No Will remote viewing be required? Yes No Will this system be used with Point of Sale? Ye s No Monitor Size 9" - 14" 15'' - 19" 20" - 26" 26'' - 32" What is your estimated budget for this video surveillance system? $2,000 - 4,999 $5,000 - $9,999 $10,000 - $24,999 $25,000+ Not sure What is your buying timeframe for this system? ASAP Within the next month Within the next two months More than two months