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*First Name:

*Last Name:

Sales Person:

Location:

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*Phone:

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*Email:

*Password:

Lower case letter

Upper case letter

Number

8 characters long

Cell Phone:

*Company Name:

*Company Website:

*Street Address:

*City:

*State:

*Zip Code:

*Attach ANY ONE of the following required documents: Resale or Sales Tax Certificate, Business License. The Following formats are accepted: .jpg, .png, or .pdf

* - mandatory fields

Please fill out First Name, Last Name, Company Name, Address, City, State, Zip, and Phone.

Please make sure your Email is entered correctly.

Please adjust your password to follow the rules - must be at least 8 letters or numbers and contain at least 1 capital letter.

Please select a preferred store.

Please attach the required document.

The new way to purchase and specify lighting at special wholesale pricing for the design professional.

*When membership is approved, a confirmation will be mailed
and a Designer Program Membership card will be mailed within 7 days.

Customer Login Form

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