Custom Vehicle Questionnaire

Please take the time to fill this survey out as completely as you can at this time. When you complete and submit this survey to us, we will contact you within 2 business days with more information tailored to your needs.
The information you supply will not be used for any other purpose than helping us to serve you better designing your new custom home system.


Your Name :

Your E-mail Address :

Your Current Address :
City : State : Zip :

Home Telephone:
Work :
Cell :
Pager :
Fax :

Are you  interested in a DVD player for this vehicle?
Yes No

Are you  interested in additional power amplifiers?
Yes No

Are you  interested in a Surround Sound System?
Yes No

Are you interested in remote control for this system?
Yes No

Are you  interested in High Performance Audio Speakers?
Yes No

Are you  interested Custom Fabrication of system components?
Yes No

Are you  interested in a Security System?
Yes No

Will this be a competition vehicle ?
Yes No

Do you find it hard to operate the system you have now?
Yes No

What is the year, make, and model of your car (please include any pertinent information as to vehicle options and previous modifications)?

Please list any equipment that you would like us to try to integrate into your system:

How did you hear about us?


Would You Like to be on our mailing list ? :
(Your information will be private and not used for any other purposes)

Please describe any other products or services that you are interested in or any additional questions or comments you may have:

Thank you for taking the time to fill out this document.  It will help with the design and implementation of a system that is tailored to you and your family's lifestyle.