CONTACT VISIONTECH

CORPORATE HEADQUARTERS
VISIONTECH
2917 Union Rd, Suite E & F • Paso Robles, Ca 93446 USA
Tel: 805-237-7450 • Toll Free 877-498-1732
Fax 805-237-7452 • Toll Free Fax: 1-877-498-9312
Email: contact@visiontechintl.com

CANADIAN REPRESENTATIVE
NORCAN SPEC
Yvan Roberge
18763 Poitiers• Pierrefonds, QC H9K 1P9
Tel: 514-626-6922
Fax 514-626-9540
Email: yvan@norcanspec.com

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Customer Information Form ( CIF )

Thank you for your continued interest in Visiontech. Please fill out the following form as thoroughly as possible, so that we may best assist you with your needs.

Person who will make the decision on pursuing a business relationship: First name:
Last name:
Email: At Visiontech we recognize that privacy is important. We do not share any of your information with third parties.

Important Information About Your Company: What best describes your business:
Have you ever Recieved a Visiontech Catalog:
Do you currently stock CCTV products (Cameras & Lenses):
Which Manufacturers/Distributors do you currently buy from:
What dollar volume do you purchase CCTV Cameras and Lenses per year:
How did you find out about Visiontech:

Your Contact Information: Your Company:
Contact:
Address:
Phone Number:
Fax Number:
Email:
Website:
Comments:

CAMERAS

IR BULLETS

BULLETS

IR DOMES

DOMES

COVERT

MICRO

DVR

LCD

ACCESSORIES

Customer Information Form ( CIF )