Inductive Loop Estimate Questionnaire Form |
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Press the submit button at the foot of the page, or print this page and mail/fax it to us for your free loop estimate (UK only) |
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| Contact Information |
Title |
Mr
Mrs
Miss
Ms. |
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Forename |
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Surname |
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Company |
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Job Title |
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Address |
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Postcode |
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Telephone |
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Fax |
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Email |
* required please |
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| Building Address |
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Postcode |
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| Cable Details |
| The loop cable must be installed to the perimeter of the room. Wherever possible the loop cable will be installed at floor/skirting board level. If it is a new building we will advise your electrical contractors the type of cable and conduit required for the loop to be placed under floor level. If a doorway or opening does not permit the cable to be installed at floor level the loop cable shall be installed up and over the opening. In some cases be possible for the loop cable to be installed at picture rail height or above. |
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| We can supply the following cable colours. Please choose one that would blend in with the surroundings. |
Cable colour |
White
Black
Grey |
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| Room Measurements (metres) |
Length |
metres |
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Width |
metres |
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Ceiling height |
metres |
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No. of doors |
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| Existing Equipment |
| Does the room have an existing Public Address system?
Yes
No |
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| Room Construction Details |
Please give a full summary of the construction of the room to be looped below:
a. Wall construction i.e. wood, plaster, stone, concrete.
b. Type of skirting board (if applicable).
c. Type and height of ceiling i.e. Suspended ceiling.
d. Type of floor i.e. wood, stone, reinforced concrete.
e. Any other relevant information |
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a. Wall construction i.e. wood, plaster, stone, concrete. |
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b. Type of skirting board (if applicable) state if none. |
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c. Type and height of ceiling i.e. Suspended ceiling. |
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d. Type of floor i.e. wood, stone, reinforced concrete. |
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e. Is floor carpeted?
Yes
No |
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| Any other relevant information |
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Room Plan Details
To speed the process of your Induction Loop System Estimate. Please Email (as an attachment file),
mail or fax us, a detailed plan of the room to be looped and mark clearly on your drawing:-
1. Length and width of the room in metres
2. All doors and openings
3. Draw position of all mains sockets
4. Draw position of existing Public Address system (if applicable)
5. Mark in the area/areas' where a microphone will be used i.e. lectern, stage, committee table etc
6. Other information that you feel may be relevant |
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Thank you for taking the time to complete this form |
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All comments or queries:
webmaster@deaftech.force9.co.uk
Layout and design by: © DAT 2003.
Mail: Deaf Awareness Technology, Denmark House, Denmark Road, Poole, Dorset, United Kingdom, BH15 2DE. |
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