ACCOUNT + PROJECT INFORMATION

Step 1 – Account Info

Please complete the following form to help us prepare for your upcoming lighting project.

Corporate Information
Company Name*
Company Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Main Phone*
Website
Type of Business
- Retail
- Restaurant
- Hospitality
- Multi-Family Real Estate
- Other
If "Other" list type of business
Estimated # of Annual Projects
Number of Existing Stores (if applicable)
Head of Construction or Department Head*
Please provide the name of the person overseeing your construction projects or other line of business.
First Last
Phone
Email*
Other Key Staff Member
First Last
Title
Phone
Email
Name of CSI Contact
Please provide the name of the person working with you from CS Illumination.
Upcoming Project Information
Project Name + Description
Give the name and description of your upcoming project
Project Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Target Date to Receive Lighting Package
MM slash DD slash YYYY
Project Manager
First Last
Email
Phone
Architect or Main Design Contact
Email
Phone
On-Sight Contractor or Contact
Email
Phone
Other Critical Information
Please give any information to facilitate success on your upcoming project.
Billing/Accounting Contact
Name
First Last
Phone
Email
I would like to*
- Submit Customert Info. Only
- Submit & Continue to Credit Application
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