BECOME A PARTNER

Fill out if interested in becoming a certified contractor or distributor

First name

Last name

Phone

Company name

Address

What type of business do you run?

(Lighting company, electrical service, landscaping, Christmas decor, etc..)

How long have you been running your business?

What geographical areas do you currently operate your business?

How many employees are on staff?

Do you currently carry liability insurance?

Yes

Do you have the ability to get an electrical permit if this is required in your area?

Yes

Are you currently selling any other lighting products?

Yes/ No? If yes, please list what products

Do you currently have a business relationship with an existing Permanent Lighting Company?

Yes

If yes, please provide the company's name

Please tell us a little about you, your existing business and your vision for Omni Lights products in your area

Website

Social Links

How did you hear about us?