Contact Name (required)
Business Name (required)
Phone Number (required)
Best time to call
Your Email (required)
Product of Interest
Ceiling Height
General Area (sq. ft) sq. ft.
Current Type of Lighting (i.e. halogen, incandescent, etc.)
Wattage
Local Utility Company
Additional Details (showcase dimensions, special displays, window displays, etc.)
Floor Plan
Please feel free to include a floor plan so we may better assist you. Your floorplan can be uploaded above or faxed to (845) 365-9777.