Name
E-Mail Address
Street Name
Phone Number
City
Zip Code
State
Select a State
Alabama
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Florida
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Oregon
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Rhode Island
South Carolina
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Texas
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Washington
Washington D.C.
West Virginia
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Wyoming
How would you prefer to be contacted?
Select One
Phone
Email
Would you like to schedule some time to see an in-office demonstration?
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Yes
No
What is your primary area of interest?
Select One
Audio/Visual (Home Theater)
Energy Management (Thermostats, Lights, Shades)
Security (Cameras, Alarm system)
Whole Home Automation (all the above)
For what type of building?
Select One
Residential
Commercial
What is your anticipated budget for the project?
Select One
$1,000-5000
$5,000 - 10,000
$10,000 - 15,000
$15,000 - 20,000
$20,000 - 25,000
$25,000+
What is the time frame for the project?
Are you a contractor, homeowner, architect, or designer?
Select One
Contractor
Homeowner
Architect
Designer
How did you hear about HouseLogix?
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