Custom Build a Lighting System This form is for a complete lighting solution - for Audio/Video and lighting systems please go to http://www.formdesk.com/audiovis/homeautomationquote Welcome to our Online Quotation system, please follow the questions below providing us with as much information as possible, our sales team aim to respond with a full quotation within 48 hours   (* Required) Name * Address County * LONDONAvonBedfordshireBerkshireBordersBuckinghamshireCambridgeshireCentralCheshireClevelandClwydCornwallCounty 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 * Please select how you found our site * Please select from list!Magazine - Build ItMagazine - SelfbuildMagazine - Home Building & RennovationMagazine - Hi-lifeMagazine - Smartlife InternationalOnline AdvertisingRecommendedReceived our BrochureSearch engineTelevision Other When will the project commence *   Already started       0-3 months       3-6 months    6 months +  Type of project *   Residential (Renovation)       Residential (New Build)    Residential (Multiple dwelling Development)       Commercial    Education       Hotel    Retail       Conference Room    Other  Other I am (your involvement) Please selectHome owner / end userElectricianInterior designerArchitectLighting designerM&E Consultants Manufacturer preferred (tick all that apply) *   Not Known       iLight    Futronix       Lutron    Rako   Other - please state 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 +    Other (Enter below)  Other budget amount Now please select the rooms you want to have scene control over the lighting and indicate the number of circuits Room 1 Please Select RoomLoungeDining RoomKitchenFamily RoomGardenUtility RoomConservatoryMaster BedroomBedroom 2Bedroom 3Bedroom 4Bedroom 5Bedroom 6Master En-suiteFamily BathroomStudyOther Other No. of wall panels No wall panels12345PIR Only No. of circuits No. of cicuits12345678 ------------------------------------------------------------------------------------------------- Room 2 Please select RoomLoungeDining RoomKitchenFamily RoomGardenUtility RoomConservatoryMaster BedroomBedroom 2Bedroom 3Bedroom 4Bedroom 5Bedroom 6Master En-suiteFamily BathroomStudyOther Other No. of wall panels No wall panels12345PIR Only No. of circuits No. of cicuits12345678 ------------------------------------------------------------------------------------------------- Room 3 Please select RoomLoungeDining RoomKitchenFamily RoomGardenUtility RoomConservatoryMaster BedroomBedroom 2Bedroom 3Bedroom 4Bedroom 5Bedroom 6Master En-suiteFamily BathroomStudyOther Other No. of wall panels No wall panels12345PIR Only No. of circuits No. of cicuits12345678 ------------------------------------------------------------------------------------------------- Room 4 Please select RoomLoungeDining RoomKitchenFamily RoomGardenUtility RoomConservatoryMaster BedroomBedroom 2Bedroom 3Bedroom 4Bedroom 5Bedroom 6Master En-suiteFamily BathroomStudyOther Other No. of wall panels No wall panels12345PIR Only No. of circuits No. of cicuits12345678 ------------------------------------------------------------------------------------------------- Room 5 Please select RoomLoungeDining RoomKitchenFamily RoomGardenUtility RoomConservatoryMaster BedroomBedroom 2Bedroom 3Bedroom 4Bedroom 5Bedroom 6Master En-suiteFamily BathroomStudyOther Other No. of wall panels No wall panels12345PIR Only No. of circuits No. of cicuits12345678 ------------------------------------------------------------------------------------------------- Room 6 Please select RoomLoungeDining RoomKitchenFamily RoomGardenUtility RoomConservatoryMaster BedroomBedroom 2Bedroom 3Bedroom 4Bedroom 5Bedroom 6Master En-suiteFamily BathroomStudyOther Other No. of wall panels No wall panels12345PIR Only No. of circuits No. of cicuits12345678 ------------------------------------------------------------------------------------------------- Room 7 Please select RoomLoungeDining RoomKitchenFamily RoomGardenUtility RoomConservatoryMaster BedroomBedroom 2Bedroom 3Bedroom 4Bedroom 5Bedroom 6Master En-suiteFamily BathroomStudyOther Other No. of wall panels No wall panels12345PIR Only No. of circuits No. of cicuits12345678 ------------------------------------------------------------------------------------------------- Room 8 Please select RoomLoungeDining RoomKitchenFamily RoomGardenUtility RoomConservatoryMaster BedroomBedroom 2Bedroom 3Bedroom 4Bedroom 5Bedroom 6Master En-suiteFamily BathroomStudyOther Other No. of wall panels No wall panels12345PIR Only No. of circuits No. of cicuits12345678 ------------------------------------------------------------------------------------------------- Room 9 Please select RoomLoungeDining RoomKitchenFamily RoomGardenUtility RoomConservatoryMaster BedroomBedroom 2Bedroom 3Bedroom 4Bedroom 5Bedroom 6Master En-suiteFamily BathroomStudyOther Other No. of wall panels No wall panels12345PIR Only No. of circuits No. of cicuits12345678 ------------------------------------------------------------------------------------------------- Room 10 Please select RoomLoungeDining RoomKitchenFamily RoomGardenUtility RoomConservatoryMaster BedroomBedroom 2Bedroom 3Bedroom 4Bedroom 5Bedroom 6Master En-suiteFamily BathroomStudyOther Other No. of wall panels No wall panels12345PIR Only No. of circuits No. of cicuits12345678 ------------------------------------------------------------------------------------------------- Room 11 Please select RoomLoungeDining RoomKitchenFamily RoomGardenUtility RoomConservatoryMaster BedroomBedroom 2Bedroom 3Bedroom 4Bedroom 5Bedroom 6Master En-suiteFamily BathroomStudyOther Other No. of wall panels No wall panels12345PIR Only No. of circuits No. of cicuits12345678 ------------------------------------------------------------------------------------------------- Room 12 Please select RoomLoungeDining RoomKitchenFamily RoomGardenUtility RoomConservatoryMaster BedroomBedroom 2Bedroom 3Bedroom 4Bedroom 5Bedroom 6Master En-suiteFamily BathroomStudyOther Other No. of wall panels No wall panels12345PIR Only No. of circuits No. of cicuits12345678 ------------------------------------------------------------------------------------------------- For larger systems, we recommend you contact sales on 0845 130 5905 What service do you require (tick all that apply) *    Supply Only (We supply the products and help you or your electrician install    Installation, commissioning and 2nd Fix of Products (Installation and set up of the systems parts)  Please select from the following list of options in order to enhance your home system Do you require a Holiday Module    Yes       No  Do you wish to incorporate an intelligent house remote   Yes       No  Any other comments 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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