Project Registration

Begin project registration by filling out this form. A GVI representative will contact you no later than two business days to qualify you and complete the project registration process. End user information must be disclosed to receive a quote.

 

For questions about existing project quotes, quote status or valid dates please contact:

Abby Davis

email adavis@samsung-security.com
phone 888-595-2288 x2234

download Video Security Project Site Survey Form

 

Contact information
Date Submitted: (mm/dd/yyyy)
Company Name: *
Contact Name: *
Contact Email: *
City, State: *
Phone: *

 

Do you purchase your products from a distributor?
Yes
No

 

Distributor information
Distributor Name: *
Distributor Contact: *
City, State: *

 

Products to be quoted Project # must be provided on purchase order to identify special price items. Model # Description Quantity

 

End User information To receive a quotation you must provide the following information.
End User Name: *
City, State: *
# of Locations: *
End User Industry:	--Select One-- Gaming/Entertainment Financial/Banking Healthcare/Pharmacutical Retail/Wholesale Utilities (Power/Water/Waste) Transportation (Air/Road/Rail) Construction Manufacturing Warehousing/Logistics Government (Public/Private) Education (Public/Private) Stadiums/Arenas Other
Other:
Project Description:
Project Award Date: * (mm/dd/yyyy) (estimated)
Install Completion Date: * (mm/dd/yyyy) (estimated)

 

Competitor information
Product Make, Model, Description:
Competitor Pricing:	(please identify competitor promotion or reason of discount)
* required fields
Please print this completed form for your records before submitting.

All information submitted will be held confidential.