CUSTOMER NEEDS SURVEY GATE, OPERATOR & ACCESS CONTROL Alltec Industries Inc. is committed to helping its customers find the best system for their needs. In order to help the process along, fill out this form and press "Submit" OR print it, fill it out and fax it to 508-752-6004. We will contact you with more information based on the specifics of your system design. Note: Please fill in all questions completely for more accuracy. First Name: Last Name: Company Name: Address 1: Address 2: City: State: Choose a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming       Zip: Country:     Phone Number Information:   Business Phone: Cell Phone: Fax: E-mail:     Project Location (if different than above)   Facility Name: Facility Address 1: Facility Address 2: Facility City: Facility State: Choose a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming       Zip: Facility Country: Facility Phone: Facility Fax: Site Information   My Need is: Make a Selection Immediate 3-6 Months 6-12 Months Type of Facility: Make a Selection Self Storage Campground Apartment complex other if other please specify:     How many units at this facility?     Will there be an office on site? yes no     Would it be possible to supply us with a site plan? yes no     If there is not currently a site plan, will you include a sketch of the site? yes no     If yes, draw the overhead view of the gate system area including the following: a. compass north e. buildings near gate area b. width of gate drive area f. distance and direction gate will slide c. location and distance to road g. location of power at gate site d. location of office h. pedestrian gate location "Please be sure to put your name and company name on the drawing and fax to 508-752-6004 at your earliest convenience."     Gate Data Number of gates needed: Distance (in feet) from road to gate location: for Gate 1:  for Gate 2:  Gate drive-up areas will be:  Make a Selection Asphalt Concrete Gravel/Stone Gates are:  Make a Selection Pre-existing construction New construction Gate size required:  Standard size - 17 ft. drive opening   Other:     Gate Operator   Gate Operator Type:   Make a Selection 110VAC powered 12VDC battery powered Access Control Number of gates to be controlled: Number of ENTRANCE keypads needed: Distance of each entrance keypad from computer in office (separate by commas, ie. 45, 28, 33): Number of EXIT keypads needed: Distance of each EXIT keypad from computer in office (separate by comma, ie. 45, 28, 33): Number of keypad intercoms needed: Number of keypad mounting posts needed: Drive-up: Wall mount: Brand of computer you use in office (ie. Dell, Compaq): Type of Windows operating system (ie. 98, ME, XP-home, XP-prof):  Computer's operating speed (ie. 2.3 mhz): This access control system is: Make a Selection New installation Retrofit installation How many digits do you require for your customer's access code?     Additional Comments:     Notes: Specific survey questionnaires are available for Automatic Gates and Access Controls - see Planning & Installing and Gate Guy Tips sections.