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Delivery and Installation Request

Delivery & Installation Request

Contact Information

On-Site Contact
On-Site Contact
First Name
Last Name

Your Matrix Representative

If you are not sure who your rep is, Select Sales

Facility Information

Is the site a business or residential site?
Is the site a new construction or existing facility?
Address
Address
City
State/Province
Zip/Postal
Country

Facility Accessibility

Can your street accommodate and park a 10 tonne truck?
Is there a loading dock?
Is this a ground level delivery?
Is there a freight elevator available for delivery purposes?

Electrical Information

Are there dedicated (non-looped ground) electrical outlets installed?
Do you have GPO Outlets installed?
Do you have Data Points installed?
How will you be connecting TV to your Cardio units?
Please be advised that customers are required to supply all data/antenna cables connecting to equipment
Does any equipment require re-location or removal?

Other Information

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