E&E Enterprises Global, Inc.
Please e-mail this completed/signed form to firstname.lastname@example.org and
fax a signed copy to 757-265-9750 office 757-826-9532
SITE SURVEY REQUEST
Please complete the following in order for E&E to better serve your needs.
POC Name: ________________________________________________
Person who will coordinate the
Installation with E&E Enterprises Global, Inc.
POC Address: _______________________________________________
Physical Location of the Satellite/equipment installation.
- What type of building do you have? _____________________
- What kind of roof is on the building? Flat, Pitched, Metal, Asphalt
- Is there a requested type of install? Pole Mount, Wall, Special
- Do utility lines need to be marked before the install? YES
- Is there already a P.O.E. for cabling? YES or NO
- Approximately how many feet of cabling will be required to go from the dish location to the modem? _______________ ft.
- Are there any trees or other obstructions to the south/southwest of the installation site? YES or NO
- What are your security requirements? ____________________
- What are your special requirements if any? ____________________________________________________
I the undersigned certify that the information provided is correct. I understand that the Site Survey cannot proceed until the Survey Fee of $350.00 has been paid. I understand that my Site Survey and Installation are provided under the terms of my Quote and Customer Service Agreement located at http://www.eeenterprisesinc.com/agree.htm . For GSA schedule purchases GSA schedule rules and regulations also apply. I understand that by violating these terms that I will void my warranty and cancellation fees will apply. Site Survey fees are Non-Refundable. If you have any questions regarding your site survey or installation please call 1-866-314-5860 or 757-826-9532 and ask for the Installations Management Group/Installation Manager.
Customer Company Name/ Organization Date
Responsible Party Signature E&E Assigned Site ID