| Homeowner |
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| Name: |
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| Email: |
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| Phone: |
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| Address: |
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| City: |
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| State: |
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| Zip Code: |
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| Adults Living in Home: |
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| Children Living in Home: |
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| House Information: |
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| Are You: |
Designing a home?
Building a home?
Remodeling?
Not changing a thing?
A home professional? |
| Size of home: |
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| Construction Start Date: |
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| Move-in Date: |
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| Estimated Home Value: |
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| Multi-Room Audio |
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| Do you want Multi-Room Audio? |
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| Other Comments/Questions/Requests for Audio System: |
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| HDTV Distribution |
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| Do you want multi-room HDTV distribution? |
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If your answer is yes, please answer the additional relative questions. |
| Number of TVs: |
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| What Service Provider will you have? |
DirecTV
Dish Network
Other Satellite Provider |
Brighthouse
Comcast
Other Cable Provider |
| Do you have any of these gaming systems? |
Xbox 360 |
Playstation 3 |
| What type of TV do/will you have? |
Tube
LCD
Plasma
Projector |
| Will you have a dedicated home theater? |
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| Anything else we should know? |
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| Data |
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| Do you want us to quote a data system for you (router, switches, wifi, etc)? |
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| Do you want us to quote a phone system for you? |
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| How many phone lines will you have? |
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| Do you have any other data or phone requirements/questions? |
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| Security |
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| Do you want a security system? |
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| What would you like to secure? |
Doors
Windows
Smoke/Fire |
Carbon
Glass Breakage
Garage Doors |
| Do you want security cameras? |
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| What camera options would you like? |
Record Cameras
View on Touch Screen |
View on TV's
View over Internet |
| Any other security questions/comments/requirements? |
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| Lighting Control |
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| Do you want automated lighting? |
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| Do you have any questions/comments/requirements on lighting control? |
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| Climate Control |
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| Do you want to automate your HVAC system? |
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| What type of HVAC system do you have? |
Single-Stage Heat/Cool
Heat Only
Cool Only
Heat Pump
2-Stage Heat/Cool
Zoned System
Other |
| How many thermostats do you have? |
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| Do you have any questions/comments/requirements on climate control? |
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| Almost Done... |
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| System Budget: |
Under 5,000
5,000 - 10,000
10,000 - 15,000
15,000 - 20,000
20,000 - 30,000
30,000 - 40,000
Over 40,000 |
| Who will be installing the system? |
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| Send Us Your Floor Plans - We can accept any file format. If you files are over 1mb in size please email them to info@maternsystemsinc.com after completing this form. |
| Comments/Questions: |
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