ENTER CONTACT INFORMATION
Company Name:
(if applicable)
Name:
Address:
City:
Phone Number:
Important to provide a good Phone number as this order with NOT be processed until after we contact you for confirmation, faxed signature and payment information.
Fax:
Important to provide a good Fax number as this order with NOT be processed until after we contact you for confirmation, faxed signature and payment information.
Alternate / Cell Phone:
The sooner we can contact you, the sooner you will receive your order. Therefore we ask for an alternate phone number, preferrably a cell phone.
Email:
IMPORTANT: Phone and Fax MUST be accurate. Fax Number is Required as we will be faxing you an Authorization Sheet and need you to fax it back with your signature. Production of your Create-A-Lite order will NOT begin until we have your Signed Authorization faxed back to us.
Please Note: There is a factory minimum of 10 feet of Task Light. If you request
a quote for less than 10 total feet of this product, you will not receive a full quote.
To make sure you order the correct product, you will be contacted to confirm this quote. We normally
respond with order confirmation and payment request within 1 - 5 business days. Please note, we are
open Monday through Thursday Only. If you do NOT receive confirmation of this quote within 5 business
days after submitting, simply click here . Please do NOT telephone our Main Line as this form goes to a
complete different location. And please remember, this is NOT an order. This is simply a request for a quote.
All items on this page are Made per Order. Therefore, they are 100% Non-Returnable and can NOT be cancelled once we receive your signed approval and payment to begin production. There are No Exceptions. We are NOT responsible for what you order - You are solely responsible for what you sign off on and or order verbally. Therefore, it is very important that when you receive our faxed invoice, which will show the details of your order, that you make 100% sure that it is exactly what you need before signing and faxing it back to us.
Please Note: We can NOT help you with your layout. Before you contact us, please click here .