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Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

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Preferred method of communication *

Call

Text

Email

Earliest preferred time for phone call

Hour

Minute

Second

AM PM

Latest preferred time for phone call

Hour

Minute

Second

AM PM

What lights are you looking to install? *

Pot Lights

Landscape Lights

Holiday Lights

Event Lights

Type of job *

New Installation

Retrofit/Upgrade

Not Applicable

Would you need us to provide lights? *

Yes (I need lights)

No (I have lights)

If yes, which lights would you like?

Traditional C9 (Seasonal)

Traditional C9 (Permanent)

Govee

Other

Which sides are you looking to do?

For holiday/pot lights

Front

Left

Right

Back

Any other parts you would like to light up?

For holiday lights

Trees

Bushes

Railings

Columns

Pathways

Other

What is the earliest start date that works for you?

MM

DD

YYYY

What is the latest start date that works for you?

MM

DD

YYYY