Dealer Application Form:

Please provide the following information. You will be contacted by a Elizabethan Classics sales representative.

Contact Details:  
First Name
Last Name
Company Name
Email
URL
Address
City
State
Zip/Postcode
Country
Phone
Fax
Toll Free

Company Details:

What exactly does your company do/sell?
Do you have a lighting showroom?
If yes, what lighting lines do you sell?
What other types of products other than lighting do you sell in your showroom?
What is the square footage of your showroom?
How much space would you be able to dedicate to Elizabethan Classics?
How many people are employed in the showroom?
Do you offer lighting design services to your customers?
Do you offer installation services for your products?
Do you employ installers or use sub-contractors?
Please list any other major lighting manufacturers that you purchase direct from:
Please list any affiliate buying groups:
What are you interested in purchasing from our company?
Please list any additional locations:
Do you have a certificate of resale?
How did your company hear about us?