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Mount Job Checklist
Tech Name
Customer Name
TV Brand/Size
Today's Date
Mounting Surface
Drywall, Plaster or Wood
Brick/Concrete
Tile
Other
N/A
Mounting Location/Height Confirmed With Customer
Yes
No
N/A
The TV Is
New
Used
N/A
Other
The TV
Works Before Mounting
Works After Mounting
N/A
Is there any damage to the TV, prior to mounting?
Yes
No
N/A
Is there any damage to the wall, prior to mounting?
Yes
No
N/A
Upload all service pictures
Customer Install Acknowledgment
I hereby agree to the Terms and Conditions of the Service Agreement located at
onthewallomaha.com/terms-and-conditions-installation-services
and acknowledge the services provided are to my satisfaction, and that any adjustments in height and/or placement required after original confirmed installation is not part of the original service. Any such adjustments are subject to service charges.
Customer Name
Customer Email
Today's Date
Signature
❌
SUBMIT
Service Form
Name
Email
Number
TV Size
Up to 60"
61" or Larger
How Many TVs?
1
2
3
4
More Than 4
Do You Have (A) Mount(s)?
Yes
No
Mounting Above Fireplace?
Yes
No
Mounting Surface?
Drywall
Brick
Stone
Tile
Other
Conceal Wires?
Yes
No
Extra Instructions
Send
