Duclos Rental House Referral

1

Rental House Name* This field is required.Tell us the name of your rental house.

2

Contact Name* This field is required.The best person to reach out to if we have questions.

First Name

Last Name

3

Contact Email* This field is required.The best email address to contact you if we have follow-up questions

example@example.com

4

Website URL* This field is required.Please enter the URL of your company's homepage.

We'll only link to your homepage, not specific pages.

5

Primary Location* This field is required.Tell us where your rental house is based. We'll prioritize US-based rental houses.

If multiple, use headquarters.

6

Lens Model for Referral* This field is required.Which lens model are you submitting for? List up to three models. Every product page has three available rental house slots. We'll update the listed rental houses periodically but make no promises to list any particular rental house in and specific order for any amount of time. Contact us for bulk referral links.

Lens Model 1

Lens Model 2

Lens Model 3

7

Almost done!

By clicking "submit" you agree that you are an authroized agent of {rentalHouse} and are allowing www.ducloslenses.com to link directly to the {rentalHouse} website ({websiteUrl}) and use your contact info for follow-up communications.