Lighting Lead Form

1

I am interested in lighting my:

Home

Business

2

Do you own this property?

YESNO

3

What are your main priorities for lighting your home/business?

Holiday/Special Occasion Lighting

Accent Lighting

Security

Other

4

Which parts of your home/business are you looking to add lighting?We complete up to two free estimates. A charge of $50 will be assessed for each estimate beyond that which will then be applied to your installation.

Front of Home ONLY

Front + Sides

Front + Right Side

Front + Left Side

Back of Home ONLY

Front + Back ONLY

FULL HOME

5

What are you currently doing for holiday lighting now?* This field is required.

I hang my lights myself.

I have them professionally hung every year.

I don't currently light up for the holidays.

6

I am interested in financing options.Finance your project at 0% Deferred Interest for 12 months!

Yes

No

7

What is your name?* This field is required.

First Name

Last Name

9

Enter your information below to receive a free estimate.* This field is required.

Street Address

City

Phone

Email

10

Photos of newer homes are difficult to find online. Please attach a photo if you have one available. This helps speed up the process for a response.You can also email us at hello@halocustomlighting.com

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