Custom Wired Concepts LLC.

Sales@customwiredconcepts.com

Custom Wired Concepts

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Custom Wired Concepts LLC.
P.O. Box 3402
Matthews, NC 28106

Office: (704) 220-6977 Toll Free:1-877-Wired 123
Fax: (704) 220-6977

If you have a project in mind, or would like to receive more information, please complete items 1 through 7 in the form below.

We wish to assure you that any information you provide is kept strictly confidential at all times. Your information will not be distributed or sold to any third parties.

* Denotes required field.

1. Your contact Information

* Name
* Address 1
Address 2
* City, State, Zip
* Phone
* Email



	2. What systems are you interested in? (Please check all that apply.)

	Phone/Data/Networks
	Structured Wiring
	Home Theater's
	Home Audio
	Lighting Control
	Security/CCTV
	Central Vac systems
	Commercial/Corporate/Retail


	3. Approximate budget (Electronic Systems only)

	$5,000 - 25,000
	$25,000 - 75,000
	$75,000 - 150,000
	$150,000 - 350,000
	$350,000 - 600,000
	$600,000 - 900,000

	4. Project Category

	Residential New Construction
	Residential Remodeling/Addition
	Commercial New Construction
	Commercial Remodeling/Addition

		5. Project Status

		Planning
		Under Construction

	6. Project Description/Comments

	7. How did you hear about Custom Wired Concepts LLC.? (Please check all that apply.)

	Direct Mailing
	Yellow Pages
	Magazine Article featuring Custom Wired Concepts LLC.
	Newsletter
	Search Engine: Which One?
	Referred: By
	Other: