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DTV and HDTV Home System Information


Name


Address

 
City                                                        Zip

     
Phone                           E-Mail

About Your Home

No. of Levels
    Single Story   Two (or More) Story Other (apartment, RV, boat, etc.)

Foundation
    Slab   Crawl Space   Finished Basement Other

Roof Pitch(approx)
    Low (4/12)   Medium (8/12) Steep (12/12)

Roof Material
    Shingle   Metal   Wood Shakes Other

Siding Material
    Vinyl   Aluminum   Wood   Brick   Other

Equipment

No. of Digital Ready TV's               No. of Analog TV's
                             

No. of DVD Players                         No. of VCRs
                           

Additional Components

    Surround Sound Home Theater

Current TV Signal

    DISH Network DirecTV Exterior Antenna Tower Cable TV Other

Comments:



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