Tv Installation Survey
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Residential property / Commercial property
*
Please Select
Residential
Commercial
Tv Details
Tv Brand & Model
Tv Size
*
Please Select
32"
43"
50"
55"
60"
75"
75" and Up
Do you have a Tv mount?
*
Yes
No
If Yes, what type of mount?
Please Select
Fixed
Tilt
Full Motion
Not Sure
If No, Would you like us to supply Mount
*
Yes
No
If Yes, Type of Mount?
Please Select
Tilt
Full Motion
Fixed
Not Sure
How many tv(s)
Please Select
1
2
3
4
More than 4
Mounting Preference
Where Will the Tv be mounted?
*
Drywall
Brick
Concrete
Other
IF Other, What Type Of surface?
Would you like the wires to be concealed with RaceWay (Cord Covers)
*
Yes
No
Would you need an additional outlet behind the tv? (outlet must below area where tv will be mounted)
*
Yes
No
Will your Tv be connected to a soundbar or other AV equipment
Yes
No
"Upload a clear picture of the TV mounting area. Be sure to include the whole wall so we can get a good idea of the space before we come out!"
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Preferred Appointment
Date
*
-
Month
-
Day
Year
Date
Preferred Time Slot
Please Select
Morning (8 AM - 12 PM)
Afternoon (12 PM - 4 PM)
Evening (4 Pm - 7 PM)
Submit
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