1-800-610-6711 207-266-9374 skype: omni-wifi

Site Survey to Establish Your Wireless Equipment Needs

Please take a moment to tell us about your wireless needs. OMNI-WiFi can optimize its products to provide a custom design for your location and user requirements. We will review your site survey and contact you within 24 hours to discuss a plan with you and provide a quotation. Thank you for your time in completing this survey.

Tell us about your wireless equipment needs:

How did you find us?

First Name

Last Name

Work Phone

Cell Phone

Fax Number

Street

City/Province

State

Zip/Postal Code

Country

Title

Department

Company

Website Address

Best Time to Contact You

Best Contact Method

Please fill in (e.g., Hotel/Hospitality, Recreation, Offices/Manufacturing/Services, Retail, Medical/Hospital, Wireless ISP, etc.)

Type of Business

Please fill in (e.g., Hotel, Motel, Conference Center, Lodge, Resort, B&B, Municipal, Hospital, RV Park, Campground, WISP, etc.)

Type of Facility

Location

Address of facility requiring Wi-Fi:

Longest distance between user and access point?

Is the maximum distance line of sight?

Yes No Not Sure

Users per floor?

Number of wireless users?

Number of floors?

Number of buildings?

Distance between buildings?

Type of construction?

Replaces existing wireless system?

Yes No

Brand of system being replaced?

Internet Provider

Please fill in (e.g., Comcast, AT&T, Time Warner, etc.)

Bandwidth - Download/Upload Speed

Example: 50/5 mbps

Municipal restrictions: Please fill in (e.g., historical, aesthetic, etc.)

Other Comments

What is your budget?

Are you a? (Please choose one)

Wi-Fi End User Prospective Integrator

Your Email

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OMNI-WiFi, LLC

Connect with Reliability ~ Communicate with Clarity

Site Survey to Establish Your Wireless Equipment Needs