PREWIRE FORM
Order Number
Start Time
Hour Minutes
AM
PM
AM/PM Option
Customer Name
First Name
Last Name
Width of wall where screen will go - in mm
Length of room - in mm
Distance between projector and screen in mm (throw distance)
HDMI Cable Prewired
Yes
No
1 x HDMI Cable Installed
2 x HDMI Cables Installed
Other
How many zones pre wired in total
HT - Zone 1
Zone 2
Zone 3
Zone 4
Zone 5
Zone 6
Zone 7
Zone 8
Other
How many speakers pre wired in total
Photos of Finished Pre Wire
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Comments
Installation Comments
Pre-Wire Installer
Please Select
Acute Security Pty Ltd - Chirag Patel
BGK Electrical Pty Ltd - Bekir Kaklik
Select Audio Visual -Kamel Kheir
DC Installer - Marten Odesho
Rapid Home Repairs - Nineb Zaia
Sound Design - Omar Sandoval
Future Homes & Security P/L - Allan
Superberb Installations - Marc Birthsel
DC Installer - Reed Morel
Optimal Electrical & Security - Cameron Edwards
CUSTOMERS OWN INSTALLER
Finish Time
Hour Minutes
AM
PM
AM/PM Option
Name
First Name
Last Name
Installer Signature
Date
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Completion Date
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