Site Survey Please List customer information if this a new location or new customer.Yes, this is a new customer or new location.No, this is not applicable.If this is an existing customer, or existing location fields are not required.Contact InformationContact InformationContact Email AddressStore #Store # - N/A or UnknownNoYesCustomer NameStore LocationStreet AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeBilling InformationBilling Information is the same as store informationNoYesStreet AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweSite SpecificsSite General InformationSite Doorsfront / back / side?Restaurant & Dining AreaRestaurant Ceiling HeightPlease list in InchesFront Door Width? (Inches)Please account for any obstacles within the door. IE a pushbar, or trim.Back Door Width? (Inches)Please account for any obstacles within the door. IE a pushbar, or trim.Dining Area Concerns, or extra considerationsGame Room InformationGame Room?This location does have a new game room.N/A, or layout already provided.Please provide information regarding the game room. If the layout has already been made please mark N/ADoes this location have existing games?YesNoGame Room Ceiling HeightPlease list in InchesGame Room Entrance? (Height)Please account for any obstacles within the door. IE a pushbar, or trim.Game Room Entrance? (Width)Please account for any obstacles within the door. IE a pushbar, or trim.Game Room Sq FTPlease take pictures of existing game room. Send pictures to Projects@costleyentertainment.comPlease list any potentional obstacles within the game room.Game ListDeliveries?Delivery information, and details have not been coordinated.N/A, or deliveries have been coordinated.If delivery details, and information regarding this location have already been determined - please mark N/A; otherwise please provide accurate informationSite DeliverablesDeliveriesCheckboxDirect to site shipments via carriers (FedEx, UPS, etc..)Location has room to support a shipping container.Location does require a lift gate for drop offsPlease notate any applicable methods for deliverables.Select Door for Drop-off /Pick-upFront-DoorTo-Go DoorSide DoorBack-DoorOtherRecommended door for pickups / delieveriesPlease notate any obstacles that might impede equipment removal/drop - offNetworkingNetworking ChecklistTo test your internet speed, from your POS system please visit: Speedtest.net; if the site is unavailable from POS - Please connect to one of the store wifi networks, and visit the same site.Checkbox (installs)Network Infrastructure (Ethernet ie cat 5/6)Network Rack Installation and site completionNetwork Stack and Site Turn-upPOS(s) InstallationDMB(s) InstallationAdditional TV(s) InstallationAudio InstallationGame RoomPlease check any applicable box for items we will be responsible for installing, and/or configuring.ISP InformationISP InformationN/APlease provide detailed information about the location internet connection. If unsure, or not releveant please declare "NA"ISP SelectionCoxSpectrumAT&TVerizonUnsureOtherWrite in other *Download SpeedCheck from your POS/and or wifi networkUpload SpeedCheck from your POS/and or wifi networkRouter InformationRouter DescriptionMakoUnifiCiscoUnsureWhat Type of Network router(s) is/are currently installed?Additional Networking and switching informationPicturesPlease take detailed pictures of the following items; Once completed please Send Pictures to Support@CostleyEntertainment.com. Please note multiple emails may be required based on quantites of pictures.FacilityPictures *Front Door PictureBack Door PictureOther Door Picture(s)Game Room Entrance PictureGame Room Picture(s)Store Pictures - Pictures of guest areasPlease check off the pictures listNetworkPictures *Network Box PictureNetwork Switches PicturePicture of Network area from afarPicture of AP Location(s)Picture of Any other networked equipment (NVR / DVR / ETC)Please check off the pictures listPOSPictures *POS Area - Terminal Location(s)POS Area - Above Ceiling (Recommend taking multiple pictures)POS Area - From AfarPOS - Time Clock LocationPOS - Receipt Printer LocationPOS - Designated AP Location (If unknown take wide shot of dining area)POS - Any other relevant POS PicturesStore Pictures - Pictures of dining areaPlease check off the pictures listGame RoomPictures *Game Room Entrance PictureGame Room Picture(s)Please check off the pictures listOtherPictures *DMB Location (If Applicable)DMB - Above Ceiling (If Applicable)Additional TV Location(s) - ( If Applicable)Additional TV Location(s) Above Ceiling - ( If Applicable)Restaurant - Wide Shots (include Ceiling)Kitchen - Prep AreaKitchen - Dishes AreaBuffet - Wide ShotBuffet - Salad Bar AreaPlease check off the pictures listSend MessageSave as Draft
and then Add to Home Screen