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AV Distribution Questionnaire
AV DISTRIBUTION QUESTIONNAIRE
from Evolution
Click
here
to download an interactive PDF of this form.
Contact Information
Personal Information
Contact name:
(Required)
First
Last
Title/position:
Email:
(Required)
Phone:
Company Information
Business name:
(Required)
Business type:
(Required)
Distributor
Dealer/Integrator
Address:
(Required)
Address line 1
Address line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Zip
Verticals You Serve (check all that apply):
(Required)
Commercial
Residential
Corporate
Entertainment
Government
Hospitality
Education
Retail
House of Worship
Transportation
Apartments
Other
Verticals you serve (other)
(Required)
Video Questions
System Information
How many displays are needed:
How many sources are needed:
What type of contol is needed:
Will displays share the same resolution:
Yes
No
How will the system be controlled:
Where will the equipment be located:
How far apart are the sources and display:
Cabling being used:
System Feature(s)
(Required)
4k resolution
Video Wall
Multi-view
Switching
Digital signage
KVM
Other
Intended Use(s)
(Required)
Home theater
Sports
Residential
Gaming
Security
Commercial
Other
System feature (other):
Intended use (other):
(Required)
Audio Questions
Environment and Noise
Area name/description:
(Required)
Ambient noise level db:
Will there be large change in ambient nose level
Yes
No
If yes, note range:
Type of Space
(Required)
Residential
Office
Hospitality
Retail store
Factory/industrial
Education
Other
Location of Space
(Required)
Bedroom
Home theater
Living room
Warehouse
Hallway
Auditorium
Other
Other (type of space):
(Required)
Other (location of space):
(Required)
Size of Space
Area dimensions
Length
Width
Square Feet
Ceiling height
Feet
Inches
Zones and Equipment
How many zones are needed:
How many AUX Inputs are needed:
How many MIC inputs are needed:
Where will the speakers be placed?
Inside
Outside
Both
How can the speakers be mounted?
Suspended/drop ceiling
Walls
Beams/columns
Other
Other (speaker mounts):
System requirements
Paging system:
Yes
No
Fire protection:
Yes
No
Tile bridges:
Yes
No
Volume controls:
Yes
No
Other system requirements
Add
Remove
Recommended amplifier:
BAV2500
BAV4250
BA251
BA2101
A120
PAV140
PA230BWA
PA230SWA
Other
A220
PAV1100
Other (recommend amplifier):
System Design
Let us help ensure you have the right equipment, features, and accessories to maximize your profits and ensure customer satisfaction.
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