PROPERTY INFORMATION

Type of Property (check box that applies):

Business

Residence

Other:

Property Name:

Property Address:

Property Phone #:

Property Hours:

Days of Operation:

CONTACT INFORMATION

Contact Person Name:

Phone #:

Email Address:

Cell Phone #:

Alternate Person:

Phone #:

Email Address:

Cell Phone #:

Part of a neighborhood/business watch? Y N

Name of group:

SYSTEM INFORMATION

System Brand:

                              Model:

IP Address(s) or DynDNS:

Port #:

# of Fixed Cameras:

# of PTZ Cameras

# of Storage Days:

File Format: 

MPEG4

H.264

Other

Windows Media Player Compliant?

Y

N

Generic User Name:

Generic Password: