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* 1. What is your full name?

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* 2. What is your email address?

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* 4. What is your city and state if in the USA, or your city and or province/state if located elsewhere?

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* 5. What best describes your interest?

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* 6. How soon do you want to purchase?

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* 7. Please describe your gear including the make/model of your projector or display, media players/streamers, AV/R or AV/P etc.

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* 8. What is your phone number? Please use the international format.

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* 9. May we share your information with a representative that services your territory? (You must please answer yes in order for us to process your request. If you aren't ready to be connected with a dealer or outside representative, but still have questions, please email us at sales@madvr.com instead of using this form.)

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* 10. Are you already using madVR, or have used it extensively in the past?

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* 11. Which best describes your needs?

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* 12. Please tell us why you are interested in buying an Envy and anything else you would like us to know about your needs and or project. Also, how did you hear about us?

Please click Done to submit your entry. We will process your request right away and a dealer should contact you shortly. If you do not hear from a dealer within a few days, please email sales@madvr.com to let us know.

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