AV Now Portable Sound System Questionnaire

If you need a quote for multiple rooms, please fill out one form for each room. For anything immediate call: 800-491-6874 8am – 4pm PST | Mon – Fri.
Business Name
Full Name*

First NameLast Name
Check all that apply:

ZumbaBackground musicCyclingJazzerciseDance instructionPilatesYogaParks/RecTRXGeneral AerobicsSpecial EventsChildren's ProgramsSeniors ProgramsOther (please specify)*
*Other programs:
Crowd Size*
Either Square Feet or Dimensions
Microphone System Needed?*
Type of mic system?
# of classes per week*
Music players required:

CD PlayerBluetooth Receiver
CD Player Type*
Organization
ZUMBA, Spinning, Jazzercise, etc.
Budget Range*
List any special requirements
i.e. floor-to-ceiling mirrors, fussy neighbors, etc.
Ship-to Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Expected Delivery Date
Phone Number*

Area CodePhone Number
E-mail*
Should be Empty: