CONNECTED HOME SITE SURVEY REQUEST Connected Home Application What is your first name? * What is your last name? * What is your email address? * Phone Number * What is your address? * Are you purchasing the service as an individual or an organisation? * Individual Organisation Organisation Name * Which products do you want? * Connected Home Standard Package (1 Controller, 2 indoor sensors, 3 door/window contacts & 2 remotes) Custom Connected Home Setup (Site survey required) The total for the product you have selected is: When you would you like the installation to be done? When would you like the site survey to be done? Please provide your National ID or Passport * Drop a file here or click to upload Choose File Maximum upload size: 516MB Please provide your proof of residence (Utility Bill) * Drop a file here or click to upload Choose File Maximum upload size: 516MB Please provide the certificate of incorporation * Drop a file here or click to upload Choose File Maximum upload size: 516MB Please provide national I.D's of directors * Drop a file here or click to upload Choose File Maximum upload size: 516MB Please provide your operating License (Not Required) Drop a file here or click to upload Choose File Maximum upload size: 516MB If you are human, leave this field blank. ContinueSUBMIT Use Shift+Tab to go back
