Please take a few moments to help us determine
how we may be of service to you.
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
How would you like us to contact you?
Work Phone Home Phone Email
Is your theater room installation for new construction or to retrofit into an existing room?
Is your new home theater for a dedicated theater room or a multi-purpose room:
What is the approximate length of the room in feet?
What is the approximate width or the room in feet?
What is the approximate height of the room in feet?
Are you able to control the amount of ambient light in the room?
I need :
Which do you watch the most?
What video products are you interested in using in your home theater?
Projection (Front) Projection (Rear)
Plasma flat-panels LCD flat-panels
High Definition Tuners Video Scalers
What audio products would you like to incorporate into your home theater?
Home Theater Receivers CD Players
DVD Recorders 5.1 Speakers
7.1 Speakers DVD Players
Whole-house Audio Music Servers
THX Certified Equipment
Of the following options, please select the items that are most important to you. (If you select all of them, please rank them in the box below...)
Quality (I want high-end name brands)
Aesthetics (It needs to look fantastic!)
Expandability (I plan to upgrade components.)
Features (I want everything.)
Ease of Use (Give me easy operation, please!)
Control (I like more control over settings.)
Please rank the above in order of importance.
My budget for the electronic portion of my home theater is:
Less than $5,000
$5,000 to $10,000
$10,000 to $15,000
$15,000 to $20,000
$20,000 to $30,000
Over $30,000
Additional Comments
WAV supplies equipment to Heywood Hospital for
three Conference Rooms!