System Design Request

Please fill out the follwing information pertaining to your project and a PDI-SAT System Design Specialist will contact you for a complete quote as soon as possible.

Company Name *

Required Field
Contact Name * First Last
Required Field
Contact Email *

Required Field
Phone # * - (###) - ### ####
Required Field
Fax # - (###) - ### ####
Project Name *

Required Field
Date Needed By / MM / DD YYYY
SYSTEM:
Choose Content * Basic Programming (101˚) Extended Programming (101˚, 110˚ & 119˚ 5-LNB / AT9 (99˚, 101˚, 103˚, 110˚, 119˚)
Required Field
Additional Content International (95˚) Satellite Locals Off-Air Locals Internet
Choose any additional desired content.
Estimated # of Drops

How many drops in your system?
Payment Method Credit Card Check Net 30
What is your preferred method of payment?
Signal Delivery * SMATV (Satellite Master Antenna TV) Direct L-Band (Mutli-Switch System) Stacked (101˚) Dual Stacked (101˚, 110˚ & 119˚) MFH1 (one wire multi-satellite) MFH2 (SWM Module) Fiber Optic
How do you get your signal? Required Field
If MFH2 then: New Install Upgrade from MFH1
Type of MFH2 installation
If Fiber Optic then: To Premise To Curb To Home
Type of Fiber Optic Delivery System
FACILITIES:
Number of floors to be wired on the property *

Required Field
Number of units to be wired on each floor *
Number of wires to be run to each unit *

Required Field
Number of drops per unit *

Required Field
Drop Method Home Run Looped
Are the drops home run or looped?
INSTALLATION:
Property Wire * Existing Required
Type Of Cable *

Required Field
How is/will the wiring be installed in the trunk? *

Required Field
Are there IDF closets on each floor? *

Required Field
Is AC power available? *

Required Field
Is there a central location to start the wiring? *

Required Field
Specify the type of location

Where exactly is the start point of the wiring.
What is the distance of this starting point from the dish? *

Required Field
How far is the furthest run from IDF? *

Required Field
Are you interesting in financing this system?

PDI-SAT Financing
If "Yes" then for how many years?

Please enter a numberical value for the years you wish to finance this system.
If you know your contact, please indicate them here. If not, the choose "Don't Know." Joe Flit Scott Henry Tim Evans George Dotson Dan Webber Rick Pool Mike Edelman Len Edelman Jason Cohen Nick Salcito Marcel Fernandez Don't Know
Please choose your point of contact
Comments

Please write any additional relevant information or questions here.
Upload OR fax a rough diagram of the property layout. (561.998.0608) Approximate distances and central point should be labeled and roughly where the wiring is or will be run.
The Customer shall indemnify and hold PDI-SAT completely harmless with respect to liability and damages, costs and expenses in connection with any engineered solutions provided by PDI-SAT. * I agree to the terms listed above.
Please check the box to indicate you understand the terms and conditions.

System Design Request

System Design Request

SYSTEM:

FACILITIES:

INSTALLATION: