• 1Contact information
  • 2Location information
  • 3Confirmation

Contact information

Please complete the Request for Information form below if you are interested in Outdoor Cameras. We will contact you with additional details.

Contact information: Required*

Please enter a value. Please enter a company name.
Please enter a value. Please enter a value.
Please enter a value. Please enter a value.
Please enter a value Please enter a valid phone number.
Please enter a valid email Please enter a valid email.

Location information

Tell us about your location for the camera equipment. If you have multiple locations, you can indicate "Yes, add more locations" below.


Required*

Please enter a value. Please enter an address.
Please enter a value. Please enter a city.
{{ $select.selected.text }} Please select a state.
Please enter a value. Please enter a zip.

Is this site served by Duke Energy? If No, please provide name of your electric service provider.

Please pick an option.
Please enter a value.

Add multiple locations?

Please pick an option.
Location 2 Address
Please enter a value.
Please enter a value.
Please enter a value.
Please enter a value.

Is this site served by Duke Energy? If No, please provide name of your electric service provider.

Please enter a value.
Location 3 Address
Please enter a value.
Please enter a value.
Please enter a value.
Please enter a value.

Is this site served by Duke Energy? If No, please provide name of your electric service provider.

Please enter a value.
Location 4 Address
Please enter a value.
Please enter a value.
Please enter a value.
Please enter a value.

Is this site served by Duke Energy? If No, please provide name of your electric service provider.

Please enter a value.
What is your main interest for installing cameras? (Select all that apply)
Please enter a value.
{{ $select.selected.text }} Please pick an option.

3Confirmation

Confirmation