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QUOTE REQUEST FORM   Name: *   Company: *   Address:   City: *   Province: Select Province Alberta British Columbia Manitoba N.W.T New Brunswick Newfoundland and Labrador Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon   Postal Code:   Phone: *   Ext:   Fax:   Email:   Would you like to receive our newsletter? Yes     No   How did you hear about us? * Select Source Referral Yellow Pages Newspaper Radio Flyer / Direct Mail Trade Magazine Google / Search Engine / Website Saw Sign/Sticker Repeat Business Cold Call Stopped in store Fax Advertisement Other Alberta Purchasing Connection Merx Reed Coolnet Tradeshow   Quote required for: Please select ... Security Cameras Access Control Video Monitoring   How many indoor and outdoor cameras do you have in mind?   How many of the cameras need to be vandal resistant?   How is your lighting at night indoor? Outdoor?   Would you like to see the cameras on the Internet? Yes     No   How many days recording do you require for storage?   Do you require installation or just product?   How many SF is your building?   What type of ceiling? Please select ... tbar finished open   Would you say quality or price is most important to your buying decision? Quality     Price   Would you like one of our reps to come onsite or send you the quote with product spec sheets first? Reps come onsite     Send quote with product spec sheets Other notes:

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