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Residential Commercial

1. What type of home do you live in?

2. Are you owner or tenant of the house? OwnerTenant

3. Do you consider the main floor to be an open space? YesNo

4. The basement ceiling is:

5. How many accesses are there to the main floor?

6. Is there a door between the house and the garage? YesNoN/A

7. How many windows do you have in the basement?

8. In the basement, are there double sliding windows? YesNo

9. Are there pets inside the house? YesNo

1. Are you currently connected with a different security company? YesNo

2. If so, what company is it?

3. Who is your telephone (and/or Internet) service provider? BellVideotronOther

4. Do you have high speed Internet? YesNo

5. How did you hear about GMS? Yellow PageInternetRadio / TVNewspapers / MagazinesSocial media

6. You have been referred by

Name

Address

City

Province

Postal code

Residence phone

Work phone

Email address

Comments

Gatineau

Ottawa