CTG Audio - Project Survey Request Form

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Video Codec Integration
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Request A Project Survey

Project Survey Request Form

This form is designed to provide CTG Audio with the basic information needed to recommend the best solution for your project. It will allow us to determine which of the various CTG products and programming will provide the best conferencing results for your application

**You may Print the Survey questionnaire to take with you to the site and fax to 941-922-5445 or complete the online form (below) and submit directly to our Engineering Department.

Project Survey Request Form

Name:
Company:
Address:
City:
State:
Zip Code:
Phone:
Fax:
Email:
Project Name:
Room Used For:	Audio Teleconferencing
	Video Teleconferencing
	Classroom/Training Room
Codec:
Room Dimensions:
Length:
Width:
Height:
	Feet Meters
Ceiling:	Sheetrock Acoustic
Floor:	Carpet Other
Walls:	Sheetrock Wood Glass
	Brick Cement Other
Furniture:
Table Length:
Table Width:
	Feet Meters
Table Format:	Round Square Rectangle U
Movable Table:	Yes No
Lecturn or Podium:	Yes No
Presenter and Audience:
Area For Presenter:
Length:
Width:
Height:
	Feet Meters
Area For Audience:
Length:
Width:
Height:
	Feet Meters
Acoustics:
Ambient Noise:	low 1 2 3 4 5
	6 7 8 9 10 high
Ceiling Projector:	Yes No
Type:	LCD CRT
Reverberation:
Echo to a Handclap:	Yes No
Echo to Normal Speech:	Yes No
Program Audio Requirements:
DVD VCR PC Audio Lapel Microphone Local Speech Reinforcement

We respect your right to privacy and any information provided to CTG Audio will not be shared with anyone outside of our company.

CTG Audio
PO Box 25125
Sarasota, FL 34277

Phone: 941.922.2322
Fax: 941.922.5445
Email: info@ctgaudio.com

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