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System Design Request

You are here: Home»System Design Request

To request a custom panel designed for your specific needs please fill out this form and a Channel Vision representative will contact you shortly.

Project Information
Project Type:
- Residential Project
- Commercial Project
What does your system require?
- Video
- Telephone
- Data
- Audio
Project Name:*
Project Date:
MM
DD
YYYY
Contact Name:*
FirstLast
Phone*
Email*
Company Name
Address
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Video Distribution
What type of video are you distributing?
- Antenna
- Cable
- Digital Cable
Is the Receiver in a Rack?
- Yes
- No
# of TV Locations:
# of TVs with Cable Receivers:
Are you planning on modulating a source with your Cable/Antenna Feed?
- Yes
- No
Do you have more than one coax feed running to each TV location you would like to modulate to?
- Yes
- No
Number of HDMI Sources:
HDMI Source Type?
(i.e. Roku box, Satellite Receiver, HD Camera, NVR/DVR Recorder, GamePlayer, Computer, Cable Box, DVD Player.)
Do you have an existing system and wiring?
- Yes
- No
# of Outputs @ 1'-100'
# of Outputs @ 100'- 200'
# of Outputs @ 200'- 300'
# of Outputs over 300'
Telephone Distribution
Will you have Phone Company Telephone distribution?
- Yes
- No
# of Lines In
# of Drops
Punch Down Type:
- 110 Punch
- RJ-45
Panasonic/NEC or other (KSU) System OR IP Phone System
- Yes
- No
Data Distribution
Internet Connection Type:
# of Locations / Computers:
Future Fiber Distribution?
- Yes
- No
Surge Protection or Power Backup System?
- Yes
- No
Do you want wireless connectivity?
- Yes
- No
Will you have an access point?
- Yes
- No
Would you like the modem inside the panel?
- Yes, Include a product holder
- No, I don't need a product holder
Audio Distribution
# of Audio Zones:
# of Audio Sources
- 1
- 2
- 3
- 4
Audio Sound Level Power Options:
- 100 Watt Per Zone
- 20 Watt Per Zone
Additional Information:
Please provide any additional information that you feel may help with your custom design
Additional Notes:
Related Files:
Upload any related project files or images.

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