Home 03 QuickLinks – Request Form 03 QuickLinks – Request Form Request Form Your Name (required) Your Email (required) Project Name City / Address Type of Facility Retirement/Assisted LivingLong Term/Memory CareIndependent LivingMultiple Number of Rooms Room Type StandardPrivateMixture Number of Beds Preferred System Setup WiredWirelessHybrid Do you require pull stations in the resident restrooms? YesNo Do Common Spaces require Pull Stations? YesNo Are Domelights Required for Resident Rooms and Common Areas? YesNo Do you require a Phone System (Wireless DECT/Paging)? YesNo What Brand is your current phone system What brand is your current Nurse Call System
