Program Application

To apply for the Q-SYS Loyalty Program (for Higher Education), please complete the following form. A Q-SYS representative will review your application and contact you shortly afterwards.

First Name ^*

Last Name ^*

University/College ^*

Email ^*

Phone ^*

Job Function ^*

Industry ^*

Preferred Language ^*

Type of Institution? ^*

Speced, installed, managed a Q-SYS system? ^*

Room Types ^* (You can select Multiple options)

Current installed AV platforms? ^* (You can select Multiple options)

Size of the campus? ^*

Billing Address ^*

Street ^*
City ^*
State ^*
Zip ^*
Country ^*

Shipping Address ^*

Street ^*
City ^*
State ^*
Zip Code ^*
Country ^*

School Name (if applicable)

Department (if applicable)

Q-SYS is committed to protecting and respecting your privacy. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you.

Consent to receive emails, including marketing emails, from Q-SYS. You can view our privacy policy for more information.

^*Terms & Conditions:
Yes, I have read and agree to the terms and conditions of this program.

Program Application

Billing Address *

Shipping Address *

Billing Address ^*

Shipping Address ^*