Form
Installation type VISION or LOOP
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VISION
LOOP
Brand Name
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Store ID
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Country
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Please Select
UnitedStates
Australia
Spain
NewZeland
State
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Please Select
Alabama
Alaska
Arizona
Arkansas
California
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Connecticut
Delaware
Florida
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Hawaii
Idaho
Illinois
Indiana
Iowa
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Spain Region
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Please Select
Andalucía
Aragón
Asturias (Principado de Asturias)
Islas Baleares (Balearic Islands)
Canarias (Canary Islands)
Cantabria
Castilla y León
Castilla-La Mancha
Cataluña (Catalonia)
Comunidad Valenciana (Valencian Community)
Extremadura
Galicia
Madrid (Comunidad de Madrid)
Murcia (Región de Murcia)
Navarra (Comunidad Foral de Navarra)
País Vasco (Basque Country)
La Rioja
Ceuta
Melilla
NewZeland Region
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Please Select
Northland
Auckland
Waikato
Bay of Plenty
Gisborne
Hawke’s Bay
Taranaki
Manawatu-Wanganui
Wellington
Tasman
Nelson
Marlborough
West Coast
Canterbury
Otago
Southland
Australia Region
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Please Select
New South Wales (NSW)
Victoria (VIC)
Queensland (QLD)
South Australia (SA)
Western Australia (WA)
Tasmania (TAS)
Australian Capital Territory (ACT)
Northern Territory (NT)
Store Phone Number
Installation:
New
Existing
Remote Connection Type
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Teamviwer
Bomgar
Other
Teamviewer ID
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Bomgar ID
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Other Connection Type
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Install date
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Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Site name
Store email
Manager on duty
Equipment locations
Patch panel ports linked to or direct connection
Cables labelled, lan cables detailed, cameras labelled IP details and locations
WAN address if applicable
Timer Software version
Primary IP address Linux server, subnet, gateway (ONLY FOR VISION SYSTEM)
Secondary IP address Linux server, subnet, gateway (ONLY FOR VISION SYSTEM)
IP address range cameras (ONLY FOR VISION SYSTEM)
Ports on client switch connected too (ONLY FOR VISION SYSTEM)
Vision server ID (ONLY FOR VISION SYSTEM)
Installer name
Installer email
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Installation notes
Items Installed
Attachments (Image of Timer box, vision server, switch location, cameras installed in drivethru, screens, ceiling speaker)
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