Client Requirement Form

Please complete the brief form below. The information that you provide will insure that the appropriate specialist will assist you.

First Name		Last Name

Organization

Address

Country

Phone

Web Site Address

E-mail Address

Please Retype E-mail Address

What is your requirement?

What type of Internet connection does/will the camera location have?

When will you need to have your equipment operational by?		How many units will you ultimately need?

Will you be the end user of this equipment?		Do you wish to become a reseller of StarDot products?
Yes No		Yes No

Where will the cameras be located?
Outdoors	Indoors

Which categories best describe your application?
Security/Surveillance	Web Attraction/Marketing
Construction Monitoring	Facility Management
Sensor Monitoring	Weather Monitoring
Mobile Video	Home/Office Use
Other

Which is more important to you?
Image Quality/Resolution	High Frame Rate

Have you spoken with or e-mailed anyone at StarDot before?		If yes, whom?
Yes No