Name
*
First Name
Last Name
Best Contact Number:
*
E-mail
*
example@example.com
Residence Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What color exterior package fixtures are you most interested in?
White
Black
Bronze
I’m not sure, I am open to suggestions!
Is your home Block/Stucco OR Frame/Vinyl siding?
Block
Frame
I’m not sure
How many lights do you have at your garage (coach lights that mount to the wall)?
2
3
Do you have a hanging entry light above your front door?
Yes
No
Yes, but it is flush to the ceiling, not hanging
How old are your current exterior lights?
5 years or less
5-10 years
Over 10 years
I am not sure
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