Customer Site Registration Form

The following information is necessary to begin the warranty service for phone support and advance replacement parts.

Customer Name

First

Last
Technician Contact
Name

First

Last
Mobile Phone
Email
Equipment-at-Issue
Equipment Name and Model
Serial Number
Site Address for Technician Visit
Site Name
Attention To

First

Last
Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
Any special instruction to get onsite?
Shipping Address
Site Name
Attention To

First

Last
Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
Remote Connection
Is a remote connection available?
- Yes
- No
Please specify which program.
Approved By

First

Last
Title
Site Information
VMS
Operating System
Number of Cameras
Was a storage calculation completed?
- Yes
- No
If yes, please attach the calculation. If no, please complete the form below.
File
Max. file size: 64 MB.
Camera MP or Models
FPS (Frames Per Second)
Percent of Motion
RAID
RAID 0, 5, 6, 10, 50, 60
Storage Retention

30-days, 2 years, etc.
Identified Future Expansion
Will other applications be running on the same server (e.g. access controls, analytics, etc.)?
- Yes
- No
Viewing Requirements
Number of Monitors
Number of Views per Monitor
Additional System Information
Comments
This field is for validation purposes and should be left unchanged.

Technician Contact