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CUSTOM PANEL/SYSTEM WORKSHEET

Custom Panel/System Worksheet

 

Project Name: Date:


State:

 

Distributor: Contact:

 

Phone #: Fax #: E-Mail:



Installer: Contact:

Phone #: Fax #: E-Mail:

 

 

RF Outputs

System Inputs:

Total TV locations
Outputs @ 1-100
Outputs @ 100-200'
Outputs @ 200-300'
Outputs over 300'

Antenna      HDTV
Cable      Digital Cable       Number Boxes
Cable Modem
Total Modulated Sources (Please indicate the # of internal and external modulated inputs)
# Mods-Internal       # Mods-External
# of Coax from Panel to each TV
# of coax from Dish Location to Panel

Other



Satellite

LNB Single / Dual / Quad: HDTV

Number Receivers Distance of Furthest Receiver from Dish

Multiswitch: To Combine Local Stations? Multiswitch:

Receivers in a Rack: Application:

IF MDU: Number of Floors Number Panel Locations Distance from Dish to Panel

Distance of Panel to Receivers: 1-100' 100-200' 200-300' Other

 


Telephones

Number of Lines In Number of Drops Home Run System or Daisy Chain

Type of Punch Block KSU System

Do you want surge protection?:

 


Telephone Entry System

Number Stations Number Strike Releases
Camera at Door Modulate Camera Page Out

 


Data

Number of Locations / Computers Number of Computers online simultaeneously:
Number Modem Locations Hub Type:

Internet Connection Type: Would you like a blank plate to mount the modem inside the panel?:


Audio

Number of Sources: Number of Zones: Distance of farthest zone:

Local volume control: Size of power amplifier: