KoolConnect Technologies, Inc.

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Contact Information

Primary Contact Information (Required)

A confirmation receipt will be sent to the email address in this section.

First Name
Last Name
Title
Email
Phone
Fax

Secondary Contact

First Name
Last Name
Title
Email
Phone
Fax

Agent Contact Information

First Name
Last Name
Title
Email
Phone
Fax

Property Information

Property Name
Address
City
State	*
Zip/Postal Code
Country
Phone	Please include country code if outside the U.S.
Fax	Please include country code if outside the U.S.
Web Address	(example: http://www.myhotel.com)
Owner
Management Group

Site Information

Is this a new site or a retrofit?

New Site Retrofit

If retrofit, who is the General Contractor for the retrofit/renovations?

What is the projected opening date?

What year was the site built?

What is the average annual occupancy? (example: 90%)

What is the average annual occupancy attributable to business or conventions? (example: 50%)

What is the average annual occupancy attributable to leisure / vacation? (example: 50%)

What is the average rack rate in U.S. Dollars? (Click for a Currency Converter)

What is the average daily revenue in US Dollars? (Click for a Currency Converter)

What is the average length of stay?

nights

Please provide a facilities engineering contact:

First Name:
Last Name:
Title/Position:
Phone:
Email Address:

Please provide a marketing or corporate branding contact:

First Name:
Last Name:
Title/Position:
Phone:
Email Address:

What is the hotel star rating?

How many floors?

How many rooms per floor?

Total Number of Rooms

How many rooms to be Installed?

With 1 TV
With 2 TVs
With 3 TVs
With 4 TVs
Total TV's

Meeting Rooms:

Number of meeting rooms
Number of meeting rooms to be installed

What is the building design?

If other, please describe:

Television Specifications

Please select one of the following:

We are purchasing all new TV's. The brand(s) and model(s) have already been chosen.
We are purchasing all new TV's. We would like recommendations on brand and model.
We would like to re-use all of our existing TV's.
We will reuse some TV's and purchase some new ones. We have already chosen a brand and model.
We will reuse some TV's and purchase some new ones. We would like recommendations on brand and model.

If you have already purchased TV's or plan to re-use your current TV's, please provide us with the brand and model number of each different TV.
Example: Philips 42HF7945D, LG 42LC5DC

Networking

Network Requirements

What is your existing wiring configuration:

What is your Desired Network Transport?

What is your desired networking option? *

Network to be provided by KoolConnect
Network to provided by the property and is Cisco equipment
Network to be provided by the property and is not Cisco equipment
Network to be certified by KoolConnect

If your network is or will be ethernet-based (cat5, cat5e, or cat6), please answer the following questions:

Total number of ports in each room:
Number of IP-enabled devices already in each room:
Are the ports terminated behind the television?	Yes No

Please describe your network, indicating the brand, model number, and purpose for each different switch. If you prefer, you may upload a network diagram using the file attachments section at the bottom of this form.
Example: Cisco Catalyst 1234 (Core Switch), Cisco Catalyst 7890 (Edge Switches)

Current Services

Service	Current Provider	Delivery Method
Free-To-Guest (FTG)
High-Speed Internet Access (HSIA)		N/A
Pay-Per View Movies (PPV)
Property Management System (PMS)

KoolConnect Products & Services

Which of our Video On-Demand products are you interested in?

Intrigue - High Definition (HD)
Imagine - Standard Definition (SD)
Other / No Video On-Demand

All of our Video On-Demand systesm come with the following basic features:

On-Demand Pay-Per-View Content
On-Screen Hotel Information
Guest Folio Review and Checkout
Interactive Guest Services
Branded/Customized Look and Feel
Video and Audio "Moods"
And More!

Which additional features are you interested in?

TV-Based Internet Access
Laptop Internet Access
Music On-Demand
Interactive Games
External Device Integration (Home Theatre Systems, Environmental Controls, Etc.)

If you selected "External Device Integration" above, please describe:

Supplemental Information and Attachments

Where did you hear about KoolConnect?

If other, please specify...

Please use this area to upload additional information that will be helpful, including:

Choose File...	File Type

Other Notes:

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In the event of quotes or mispricing due to incomplete or missing information, the Hotel or the Provider of this information understands and agrees that KoolConnect will not be held to any quotes or commitments made on the basis of these omissions and/or errors. Furthermore, the information provider agrees to reimburse any reasonable expenses that KoolConnect incurs in this matter in the event that the omissions and/or errors caused KoolConnect expenses that without such omissions and/or errors KoolConnect would not have incurred such expenses.