USA Out of Territory Project Registration Form

Out of Territory Project Registration Form

for Luxxbox USA Agents to complete

Comments

This field is for validation purposes and should be left unchanged.

Project Information

Project Name and Location

Job Name

Location

Estimated Bid Date

Project Specifier / and Location

Specifier/Firm

Location

Project Specifier / and Location (if multiple)

Specifier/Firm

Location

Agency Information

Agency Name/Location

Agency Name

Location

Agency Contact:

First Name Last Name

Agency Contact Email Address:

example@example.com

Luxxbox fixtures specified:

Please provide as much information as possible.

Estimated Project Value:

Ex: $13,000

Additional Information you would like us to know?

Upload Construction Drawings or Lighting Schedule

Max. file size: 50 MB.

USA Out of Territory Project Registration Form

Out of Territory Project Registration Form

Project Information

Agency Information

USA + Canada

Italy + Europe

United Kingdom

Australia + world

USA Out of Territory Project Registration Form

Out of Territory Project Registration Form

Project Information

Agency Information

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United Kingdom

Australia + world

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