Name *

First Name

Last Name

Phone *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Which day works best for you? *

MM

DD

YYYY

How big is your TV? *

If multiple, please check all that apply

<32" (+ $69)

32"-48" (+ $89)

50"-65" (+ $109)

70" and above (+ $129)

Projector & Screen ( + $149)

Do you have the mount already? *

We can supply a mount if you haven't gotten the chance to pick one up

Yes

No

What type of mount? *

Fixed Mount

Tilt Mount (+ $20)

Full Motion (+ $45)

Other

Add-Ons

Sound bar (+$85)

Cord Management (+$25-$150)

Bias Lighting (+$175)

Best way to reach you? *

Phone Call

Text

Email