TV Wall Mount Estimate Request Form

XPortHomeNetworks.com Estimate Request Form Please use the form below to request a written TV wall mount estimate. Most estimates will be completed the same day. Please answer all questions the best you can, skip any you can not answer. A technician will contact you or visit your site to collect additional information if needed. If you would rather call in your request please call (916) 390-1006 for further help.
Customer Information
First Name:
Last Name:
Company
Address:
City:	State:	Zip:
Is estimate for a business? What kind of business?
Hm Phone:
Wk Phone:
Email (we send estimate to this address)
How should we contact you
How did you hear about us?

Step 1 about the TV install...

Have you already purchased a new flat pane TV or Monitor? Can we quote you a price for a new flat panel TV or Monitor? We sell direct from a nation wide distributor of Samsung, Panasonic, Hitachi, Sharp, and Toshiba. We deliver and install new TV's and monitors for equal to or less than big box stores sales prices. Extended warranties available upon request. All our products have a 90 day same as new, exchange policy, and full manufactures warranty. We will remove and re-install for $65 if warranty service is required.
What is the size of the TV or size of cabinet opening? example 50" = TV diagonal measurement, 63" x 54" x 24" = cabinet dimensions What is the Manufacture of the TV? example Samsung, Panasonic, Sony What is the model number of your TV?
Where do you want the TV installed?
What type of TV wall mount is being used?
Do want us to add a 120V electrical outlet on wall behind TV? Is there a existing outlet directly below proposed TV location Is there attic or basement crawl space access above or below TV location?
Where do you want to locate the A/V equipment? Please describe. (example on shelf below TV, or in closet 40' across room)	Please check all that apply. CABLE / SAT DVD BLU-RAY GAME CD IPOD VCR
YES, I HAVE A SURROUND SOUND RECEIVER ! Receiver Manufacture Model Number Is this surround sound receiver HDMI ready?

Step 2 a few more details...

Do you want us to wire your system for high definition (HD satellite and 1080P Blue Ray)?

Estimated length of cable required to connect the TV to AV equipment location?

Do you want us to include the cost of cables?

Do you want us to hide cables in...
Is there a unfinished basement or attic crawl space access above or below TV?

Do you want us to hook up your A/V equipment? (DVD,Cable, Sat, CD, VCR, etc.)

Do you want us to hook up your already installed speaker wiring to your AV receiver?

Step 3 final...
How would you describe your current needs?
What is your estimated budget for this job?
We realize that all of the choices are equally important to our customers, but if you could only pick one...which of the following is most important to you on this job?	Cost of Installation Time of Installation Quality of Installation
What is your timeline for project?

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