Custom Build a System (* Required) Your Details Name * Address County * Outside UKLONDONAvonBedfordshireBerkshireBordersBuckinghamshireCambridgeshireCentralCheshireClevelandClwydCornwallCounty AntrimCounty ArmaghCounty DownCounty FermanaghCounty LondonderryCounty TyroneCumbriaDerbyshireDevonDorsetDumfries and GallowayDurhamDyfedEast SussexEssexFifeGloucestershireGrampianGreater ManchesterGwentGwynedd CountyHampshireHerefordshireHertfordshireHighlands and IslandsHumbersideIsle of WightKentLancashireLeicestershireLincolnshireLONDONLothianMerseysideMid GlamorganNorfolkNorth YorkshireNorthamptonshireNorthumberlandNottinghamshireOxfordshirePowysRutlandShropshireSomersetSouth GlamorganSouth YorkshireStaffordshireStrathclydeSuffolkSurreyTaysideTyne and WearWarwickshireWest GlamorganWest MidlandsWest SussexWest YorkshireWiltshireWorcestershire Tel No. Email * Your Property & Project When will the project commence *   Already started       0-3 months       3-6 months    6 months +  Type of project Please Select type of projectResidential (Renovation)Residential (New Build)Residential (Multiple dwelling Development)CommercialEducationHotelRetailConference RoomMarine and Yacht Other Other Number of dwellings within project Completed Properties Approx. Value Please select value£0 - £125,000£126,000 - £199,000£200,000 - £249,000£250,000 - £499,000£500,000 - £749,000£750,000 - £999,000£1m - £2m£3m - £4m£5m + How many people in the family including guests will use the system Please select1234567891010+ Manufacturer preferred (tick all that apply) *   Not Known       Opus 500 Solutions    Opus Octopus       Crestron    Crestron Prodigy *NEW*       Escient Zone    Livingcontrol       AMX    Systemline Modular       QED Systemline    Speakercraft       DF Base Server solution  Other - please state Note - The budget you have set would provide you with a very straight forward Audio/video switching system and would not be able to provide lighting control, touchscreen features etc Budget (if unknown please provide approx.) *   £1 to £4,999       £5,000 to £9,999    £10,000 to £14,999       £15,000 to £24,999    £25,000 to £49,999       £50,000 +    £100,000+       Other (Enter below)  Other budget amount Now build your system room by room Room 1 Please Select RoomLoungeDining RoomKitchenFamily RoomGardenUtility RoomConservatoryMaster BedroomBedroom 2Bedroom 3Bedroom 4Bedroom 5Bedroom 6Master En-suiteFamily BathroomStudyOther Other Whats Required   Audio       Video       Home Theatre   Lighting control No. of circuits Select no. of circuits12345678 ------------------------------------------------------------------------------------------------- Room 2 Please Select RoomLoungeDining RoomKitchenFamily RoomGardenUtility RoomConservatoryMaster BedroomBedroom 2Bedroom 3Bedroom 4Bedroom 5Bedroom 6Master En-suiteFamily BathroomStudyOther Other Whats Required   Audio       Video       Home Theatre   Lighting control No. of circuits Select no. of circuits12345678 ------------------------------------------------------------------------------------------------- Room 3 Please Select RoomLoungeDining RoomKitchenFamily RoomGardenUtility RoomConservatoryMaster BedroomBedroom 2Bedroom 3Bedroom 4Bedroom 5Bedroom 6Master En-suiteFamily BathroomStudyOther Other Whats Required   Audio       Video       Home Theatre   Lighting control No. of circuits Select no. of circuits12345678 ------------------------------------------------------------------------------------------------- Room 4 Please Select RoomLoungeDining RoomKitchenFamily RoomGardenUtility RoomConservatoryMaster BedroomBedroom 2Bedroom 3Bedroom 4Bedroom 5Bedroom 6Master En-suiteFamily BathroomStudyOther Other Whats Required   Audio       Video       Home Theatre   Lighting control No. of circuits Select no. of circuits12345678 ------------------------------------------------------------------------------------------------- Room 5 Please Select RoomLoungeDining RoomKitchenFamily RoomGardenUtility RoomConservatoryMaster BedroomBedroom 2Bedroom 3Bedroom 4Bedroom 5Bedroom 6Master En-suiteFamily BathroomStudyOther Other Whats Required   Audio       Video       Home Theatre   Lighting control No. of circuits Select no. of circuits12345678 ------------------------------------------------------------------------------------------------- Room 6 Please Select RoomLoungeDining RoomKitchenFamily RoomGardenUtility RoomConservatoryMaster BedroomBedroom 2Bedroom 3Bedroom 4Bedroom 5Bedroom 6Master En-suiteFamily BathroomStudyOther Other Whats Required   Audio       Video       Home Theatre   Lighting control No. of circuits Select no. of circuits12345678 ------------------------------------------------------------------------------------------------- Room 7 Please Select RoomLoungeDining RoomKitchenFamily RoomGardenUtility RoomConservatoryMaster BedroomBedroom 2Bedroom 3Bedroom 4Bedroom 5Bedroom 6Master En-suiteFamily BathroomStudyOther Other Whats Required   Audio       Video       Home Theatre   Lighting control No. of circuits Select no. of circuits12345678 ------------------------------------------------------------------------------------------------- Room 8 Please Select RoomLoungeDining RoomKitchenFamily RoomGardenUtility RoomConservatoryMaster BedroomBedroom 2Bedroom 3Bedroom 4Bedroom 5Bedroom 6Master En-suiteFamily BathroomStudyOther Other Whats Required   Audio       Video       Home Theatre   Lighting control No. of circuits Select no. of circuits12345678 ------------------------------------------------------------------------------------------------- Room 9 Please Select RoomLoungeDining RoomKitchenFamily RoomGardenUtility RoomConservatoryMaster BedroomBedroom 2Bedroom 3Bedroom 4Bedroom 5Bedroom 6Master En-suiteFamily BathroomStudyOther Other Whats Required   Audio       Video       Home Theatre   Lighting control No. of circuits Select no. of circuits12345678 ------------------------------------------------------------------------------------------------- Room 10 Please Select RoomLoungeDining RoomKitchenFamily RoomGardenUtility RoomConservatoryMaster BedroomBedroom 2Bedroom 3Bedroom 4Bedroom 5Bedroom 6Master En-suiteFamily BathroomStudyOther Other Whats Required   Audio       Video       Home Theatre   Lighting control No. of circuits Select no. of circuits12345678 ------------------------------------------------------------------------------------------------- Room 11 Please Select RoomLoungeDining RoomKitchenFamily RoomGardenUtility RoomConservatoryMaster BedroomBedroom 2Bedroom 3Bedroom 4Bedroom 5Bedroom 6Master En-suiteFamily BathroomStudyOther Other Whats Required   Audio       Video       Home Theatre   Lighting control No. of circuits Select no. of circuits12345678 ------------------------------------------------------------------------------------------------- Room 12 Please Select RoomLoungeDining RoomKitchenFamily RoomGardenUtility RoomConservatoryMaster BedroomBedroom 2Bedroom 3Bedroom 4Bedroom 5Bedroom 6Master En-suiteFamily BathroomStudyOther Other Whats Required   Audio       Video       Home Theatre   Lighting control No. of circuits Select no. of circuits12345678 ------------------------------------------------------------------------------------------------- Add to your System Please select from the following list the products you wish to connect to the system, please then indicate if you already own or wish us to quote for this product CD Player   Already Own       Please quote       Not required  DVD Player   Already Own       Please quote       Not required  Sky   Already Own       Please quote       Not required  Sky+   Already Own       Please quote       Not required  Sky HD   Already Own       Please quote       Not required  CD Server (£700+)   Already Own       Please quote       Not required  CD/DVD Server (£2000+)   Already Own       Please quote       Not required  iPod docking station   Already Own       Please quote       Not required  CCTV   Already Own       Please quote       Not required  Tuner   Already Own       Please quote       Not required  Media Centre   Already Own       Not required  PC/Laptop   Already Own       Not required  Games Console (Playstation, XBox)   Already Own       Not required  Data Networks Would you like us to include a Data Network/Wireless for your PC's and Internet   Yes    No  Central Control Area Most of our solutions require the use of a 19" data rack enclosure, to house the central control equipment do you require us to quote for this   Yes    No  iPhone Control Would you like your system to be controlled via an iPhone or iTouch   Yes    No  Electrical Installation With our fully Part P certified engineers, we can provide full domestic and commercial electrical installations. Do you require us to quote for full electrical works on top of the AV solution (house plans may be required)   Yes    No  If yes, have you already been quoted for such works and if so, how much are you currently being quoted? Installation & Services What service do you require (tick all that apply) *   Supply Only (We supply the products and help you or your electrician install, excludes Opus 500, Crestron and AMX)    Electrical installation works (complete first and second fix electrical works)    Installation of AV Cabling (We undergo the first fix wiring)    Installation, commissioning and 2nd Fix of Products (Installation and set up of the systems parts)  Any other information we should know Please attach House drawings or plans if available (max 1MB) for larger files please email sales@audiovision.co.uk * = Input is required

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