Name

E-mail

Phone Number

City

GENERAL DESCRIPTION OF WORK TO BE PERFORMED ON YOUR PROJECT:

How many TV's do you need mounted. Save when you get add'l TV's mounted at time of first.

1 2 3 or more

Have you purchased the mount(s)?

How many mounts would you like to be able to pull-out and move in several directions?

1 2 3 or more

How many mounts would you like to be flat on wall or and be able to tilt forward if desired?

1 2 3 or more

What surface(s) will TV's be mounted to?

Drywall/studs Block Brick Concrete Other

Do you have speakers that need to be mounted?

Two rear on-wall Two rear-in wall 4 on-wall 4 in-wall 5 on-wall 5 in-wall 7 on-wall 7 in-wall

Further Surround Sound questions or details

Is the area pre-wired for surround sound?

Yes No

Do you need any components for this project?

TV Receiver Blu-Ray Remote IR eye for hidden components behind door, walls, etc.

What would you describe as your preference for electronics if needed for this project

	1	2	3	4	5
Entry level						High-end premium

Please provide any additional details that will help us give you an accurate estimate

Please include any diagrams or files you have that will help you get an accurate estimate