DISPLAY SOLUTIONS - Information Request Form

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Your Name: *

Your Email Address: *

Your Phone Number:

Building type:
( House   Condo   Office   Warehouse   Retail Store )
other:

Mount location:
( Living room   Bedroom   Boardroom   Over Fireplace
other:

Mounting Style:
( Flat   Tilt   Articulating   Ceiling Suspension   Free Standing )
other:
Articulating Arm Mount - A style which allows the tv to positioned at almost any angle,
even around corners.

TV Size:
( 21"or less   22"-32"   33"-39"   40"-46"   47"-60" and above )
exact size (if known)

What components will you be connecting to the TV?
( Set-Top Box DVD Player Surround Sound System Computer )
others:

Describe component position in relation to TV:
( i.e. on a stand below, a shelf mounted beside fireplace, cabinet, etc.)

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