WORK ORDER
PROPOSAL
First Name
Last Name
-
Area Code
Phone Number
Please Select
TBD
Home
Home Ext.
Apartment
Business
Structure
Street Address
Suite #
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Please Select
TBD
Dog
Cat
Both
NONE
Other
Pets
Please Select
Previous Client
Returning Client
Advertisement
Avana Brazos Ranch
CompuSolutionX, LLC
Echelon on 99
Elan 99 West
Google
Grand Mason @Waterside Estates
Home Advisors
Palms at Cinco Ranch
Parkside at Grand Parkway
Parkside Bella Terra
Regalia Bella Terra
Sorrel Apartments
Sovereign @Cinco
Stratus Cinco Ranch
The Waterford @Summer Park
Thumbtack
Venue
Vista @Grand Crossing
Villas @River Park West
Waterside @Mason
Other
Referral Source
Please Select
32"
36"
39"
40"
42"
46"
47"
48"
50"
52"
55"
58"
59"
60"
65"
70"
75"
78"
80"
00"
Other
NONE
Screen Display Size
Please Select
TBD
TBA (Addt'l Cost)
Flat Mount
Tilt Mount
Swivel Mount
PRO-F55
PRO-F63
PRO-T60
PRO-T70
PRO-S65
PRO-TBD
PROJECTOR MOUNT
NONE
Wall Mount Option
Please Select
TBD
Samsung
LG
Sony
Vizio
Panasonic
Sharp
Insignia
Toshiba
Dynex
Westinghouse
Affinity
Axess
Coby
Contex
Curtis-Young
Element
Enizen-DIgital
Epson
GPX
Haier
Hannspree
Hello Kitty
Hisense
HP JVC
JVC
Majestic
Magnavox
Mitsubishi
Naxa
NEC
Phillips
ProScan
Pyle
RCA
Sansui
Sanyo
Seiki
SunBrite TV
Supersonic
TCL
Upstar
Venturer
ViewSonic
Viore
Other
NONE
Brand of TV
32"
36"
39"
40"
42"
46"
47"
48"
50"
52"
55"
58"
59"
60"
65"
70"
75"
78"
80"
00"
Other
NONE
Screen Display Size II
Please Select
TBD
TBA (Addt'l Cost)
Flat Mount
Tilt Mount
Swivel Mount
PRO-F55
PRO-F63
PRO-T60
PRO-T70
PRO-S65
PRO-TBD
PROJECTOR MOUNT
NONE
Wall Mount Option II
TBD
Samsung
LG
Sony
Vizio
Panasonic
Sharp
Insignia
Toshiba
Dynex
Westinghouse
Affinity
Axess
Coby
Contex
Curtis-Young
Element
Enizen-DIgital
Epson
GPX
Haier
Hannspree
Hello Kitty
Hisense
HP JVC
JVC
Majestic
Magnavox
Mitsubishi
Naxa
NEC
Phillips
ProScan
Pyle
RCA
Sansui
Sanyo
Seiki
SunBrite TV
Supersonic
TCL
Upstar
Venturer
ViewSonic
Viore
Other
NONE
Brand of TV
32"
36"
39"
40"
42"
46"
47"
48"
50"
52"
55"
58"
59"
60"
65"
70"
75"
78"
80"
00"
Other
NONE
Screen Display Size III
TBD
TBA (Addt'l Cost)
Flat Mount
Tilt Mount
Swivel Mount
PRO-F55
PRO-F63
PRO-T60
PRO-T70
PRO-S65
PRO-TBD
PROJECTOR MOUNT
NONE
Wall Mount Option III
Please Select
TBD
Samsung
LG
Sony
Vizio
Panasonic
Sharp
Insignia
Toshiba
Dynex
Westinghouse
Affinity
Axess
Coby
Contex
Curtis-Young
Element
Enizen-DIgital
Epson
GPX
Haier
Hannspree
Hello Kitty
Hisense
HP JVC
JVC
Majestic
Magnavox
Mitsubishi
Naxa
NEC
Phillips
ProScan
Pyle
RCA
Sansui
Sanyo
Seiki
SunBrite TV
Supersonic
TCL
Upstar
Venturer
ViewSonic
Viore
Other
NONE
Brand of TV
Please Select
Drywall/Sheetrock
Plaster
Panel
Brick
Concrete
Other
Installation Area
Please Select
Normal
Fireplace: 6' - 9'
Ceiling: 9' or higher
Installation Height
Installation Date & Timeframe
/
Month
/
Day
Year
Installation Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
30
Minutes
AM
PM
AM/PM Option
Back
Next
OFFICE USE ONLY
PPO Package:
Mount Incl
Wall Mapping
Dismounting
A/V Setup
Projector Screen
1YR Warranty
Addtl TV
CMO Package:
Conceal Cable
Apartment Kit
Power Reloc
Power Kit
Designer Series
Custom App
Other
Connect AV Components
Cable Box
DVD
Apple TV
Sat Speakers
Receiver
Roku
Game
SoundBar
10' HDMI Cable
Camera
Speaker Cable
InWall Speakers
Office Notes:
Please Select
Albert: Novice
Clark: Level3 Certified
Jerry: Level3 Certified
Kendall: Level2 Certified
Marc: Apprentice
Rob: Novice
Sam: Novice
Tim: Level2 Certified
Tony: Apprentice
TBD: Project Manager
Service Technician
/
Warranty
/
Expiration
Warranty Expiration
Service Estimate
PLEASE READ:
By Signing this Work Order You, the Client, agree to the Terms of Service as described above and are responsible for PAYMENT IN FULL at the time of services rendered. A, NON-REFUNDABLE, service fee of $75 is charged if you, the Client, cancel the work order less than 24hrs of schedule services. *This an estimate ONLY, additional fees may apply.
SORRY NO CHECKS ACCEPTED
Client's Signature
/
Month
/
Day
Year
Today's Date
844 PRO-FREE |
SUPPORT@BANEMARROWS.COM
| 16192 COASTAL HWY LEWES DE 19958 | MON-SAT
Submit
Should be Empty: