Project of the Month - Dealer Submission form

1
Submission Guidelines
2
Name* This field is required.
First Name
Last Name
3
Email* This field is required.
example@example.com
4
Phone Number* This field is required.
Please enter a valid phone number.
5
Organization* This field is required.
6
Which product was installed?* This field is required.
Please Select
Please Select
Elvoron HR/MR
LULA
Genesis Enclosure
Genesis Shaftway
Genesis Opal
Genesis Staage
Elvoron CPL
Artira
X3
Xpress II
Trac Products
Others
7
Installation Date for the Project* This field is required.
Date
Year
Month
Day
8
Please specify the property type, city, and state of installation.* This field is required.
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Large
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Small
Ok
Ok
9
How did the client describe their needs when they first approached you?
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Large
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Small
Ok
Ok
10
Can you tell us more about the project and its unique challenges and distinguishing features?* This field is required.
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Small
Ok
Ok
11
Please upload photos of the project.* This field is required.
Drag and drop files here
Select files to upload
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