Name

Surname

Cellphone

Email Address

Area

Business

Type of installation Type of installation New installation Adding to an existing system

How old is your existing system?

Building or Perimeter (Gate)? Building or Perimeter (Gate)? Building Perimeter

Building Building Inside Outside Both

Perimeter Perimeter Finger Card/Tag Both

Distance from building?

Number of entrances

Type of Access Control Type of Access Control Basic access Integrated with payroll (time and attendance)

Do you require installation? Do you require installation? Yes No

Can we offer additional add-ons? Can we offer additional add-ons? Yes No

Notes