First Name*

Surname*

Company

E-Mail Address

Telephone Number*

Fax Number

Mobile Phone Number*

How Did you hear
about C-Bus and the
Powerhouse?*

	Magazine / Television / Internet
	Home Show
	Display Home
	Clipsal Representative**
	Electrician**
	C-Bus Approved Installer / pointOne PROFESSIONAL**

** Please specify Name: 

What Suburb are you
Building / Renovating in?*

Are you building a new home?

	Yes
	No

Are you Renovating an existing home?

	Yes
	No

Please tick the box
which applies best
to your situation:*

	Owner Builder
	Home Renovator
	Electrical Contractor
	Builder
	Architect
	Interior Designer

Please specify your preferred day for your Powerhouse booking:*

Please select what
you would like to
integrate into your
automated home.

	StarServe
	AV (T.V., Plasma)
	Smoke Detectors
	Telephone
	Sound System
	Sprinkler System
	Blinds
	Security
	Air Conditioning / Heating
	Pool Filter
	Multi Room Audio

I would like further
information on the
following:

	Essential Checklist
	StarServe
	Smoke Detectors
	Security
	C-Bus Switches

Have you appointed an approved installer or C-Bus pointOne Professional?

	Yes
	No

Please specify name:  

Would you like to receive further advise from a C-Bus Approved Installer or C-Bus pointOne Professional?

	Yes
	No