Ultimate Music Center - Sound System Reply Form


	You may email us with questions or a brief description of what you are looking for, or fill out this in depth form to expedite your free sound system quote.

Your Name		Business/Org.
Phone		Address
Fax
Email
System is for	Church School Gymnasium School Auditorium Restaurant Bar/Night Club Funeral Hom Theater Other Time table Building Installation	We want	A completely new system To expand our existing system List items you already own To buy specific items List items you want

If You Are NOT A Church...
Please use this space to give us detailed information about your space and needs in order to help us design a system that is right for you.


If You ARE A Church...
DENOMINATION
SANCTUARY INFORMATION		FELLOWSHIP HALL INFORMATION
Dimensions		Sound from Sanctuary?	Yes No
Capacity		Separate F.H. System?	Yes No
Avg. Attendance		F.H Dimensions
Ceiling Style/Height (describe)		Purpose of System? (check all that apply) Spoken word Soloists/Small groups Choir Split track/Recorded background Drama productions
Balconies /Overhangs (describe)		Worhisp/Praise Team:(number of members, if applicable) Vocals Instruments Drums/Perc Where Do You Need Microphones? (check all that apply) Pulpit Lectern Alter Choir Handheld Wireless lapel Lapel Drum set Guitar amp
Best Way To Contact You Phone Email Fax U.S. Mail Best Day/Time To Contact You Additional Questions or Comments		Which D.I. Boxes Will You Need? (check all that apply) Acoustic guitar Bass guitar Keyboard Where Else Do You Want Sound? (check all that apply) Sanctuary Foyer Cry room Nursery Toddler room Pastor's office Other Systems You Need Recording/Playback system Hearing Impaired system Other (please specify)

You may email us with questions or a brief description of what you are looking for, or fill out this in depth form to expedite your free sound system quote.

Your Name

Business/Org.

Phone

Address

Fax

Email

System is for

Church School Gymnasium School Auditorium Restaurant Bar/Night Club Funeral Hom Theater Other

Time table Right Away Next 3-6 Months We're Planning Ahead -select one-

Building Being Designed Being Built Being Renovated Already Built -select one-

Installation Ultimate Music Does It All We'll Help Ultimate Music We'll Do It Ourselves -select one-

We want

A completely new system

To expand our existing system List items you already own

To buy specific items List items you want

If You Are NOT A Church...

Please use this space to give us detailed information about your space and needs in order to help us design a system that is right for you.

If You ARE A Church...

DENOMINATION

SANCTUARY INFORMATION

FELLOWSHIP HALL INFORMATION

Dimensions

Sound from Sanctuary?

Yes No

Capacity

Separate F.H. System?

Yes No

Avg. Attendance

F.H Dimensions

Ceiling Style/Height (describe)

Purpose of System? (check all that apply) Spoken word Soloists/Small groups Choir Split track/Recorded background Drama productions

Balconies /Overhangs (describe)

Worhisp/Praise Team:(number of members, if applicable) Vocals Instruments Drums/Perc

Where Do You Need Microphones? (check all that apply) Pulpit Lectern Alter Choir Handheld Wireless lapel Lapel Drum set Guitar amp

Best Way To Contact You Phone Email Fax U.S. Mail

Best Day/Time To Contact You

Additional Questions or Comments

Which D.I. Boxes Will You Need? (check all that apply) Acoustic guitar Bass guitar Keyboard

Where Else Do You Want Sound? (check all that apply) Sanctuary Foyer Cry room Nursery Toddler room Pastor's office

Other Systems You Need Recording/Playback system Hearing Impaired system

Other (please specify)

Church
School Gymnasium
School Auditorium
Restaurant
Bar/Night Club
Funeral Hom
Theater
Other

Time table

Building

Installation

To expand our existing system
List items you already own

To buy specific items
List items you want

Purpose of System? (check all that apply)
Spoken word Soloists/Small groups Choir
Split track/Recorded background Drama productions

Worhisp/Praise Team:(number of members, if applicable)
Vocals Instruments Drums/Perc

Where Do You Need Microphones? (check all that apply)
Pulpit Lectern Alter Choir Handheld
Wireless lapel Lapel Drum set Guitar amp

Best Way To Contact You
Phone Email Fax U.S. Mail

Which D.I. Boxes Will You Need? (check all that apply)
Acoustic guitar Bass guitar Keyboard

Where Else Do You Want Sound? (check all that apply)
Sanctuary Foyer Cry room Nursery
Toddler room Pastor's office

Other Systems You Need
Recording/Playback system
Hearing Impaired system