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2011
December
A
Alarm Questionaire
Alarm Questionaire
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Thank you for your interest in Wescomm Technologies Alarm Services. Please take a few moments to complete this brief questionaire so that we can get a little more information about your project.
Are you interested in Alarm Services for your home or business?
Home
Business
Both
Please provide your contact information and the address where the installation is to be completed:
First Name
:
Last Name
:
*
Address 1
:
Address 2
:
*
City
:
*
State
:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
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
District of Columbia
*
Zip
:
Phone
:
Email Address
:
If there is an additional location, enter it here:
Address 1
:
Address 2
:
City
:
State
:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
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
District of Columbia
Zip
:
What is the main reason for your interest in an Alarm System? Example: Has there been theft at your property, or do you need to monitor certain activity?
How many entry doors do you have in your building or home?
-- Select --
1-3
4-7
8-12
13-20
How many windows do you have in your building or home that you will may want sensors on?
-- Select --
1-3
4-7
8-12
13-20
What is the approx. square footage of your location?
Do you want to be able to control your lights remotely? If so, select how many lights you want to control.
Yes
No
1-5
6-10
11-20
20+
Do you want to be able to control your door locks remotely? If so, select how many locks you want to control.
Yes
No
1-5
6-10
11-20
20+
Do you want to be able to control your thermostat remotely?
Yes
No
Will you need any smoke/fire detection on site?
Yes
No
What is the anticipated time frame in which you'd like to have the Alarm System installed?
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01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
--
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
--
2024
Is there any other information that you feel we should know in regards to your project?
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