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Trade Request Form
Company Name:
(required)
Email:
(required)
Address:
(required)
Telephone Number:
(required)
What is the nature of your business?:
(required)
--- Please select ---
Retail Showroom
Retail & Online Showroom
Online Retailer
Interior Designer
Hospitality Sector
Electrical Wholesaler
Building Contractor
Electrical Contractor
Do you have a Showroom or sell to the general public?:
(required)
Yes
No
Do you have a Website?:
(required)
Yes
No
If YES please enter your web address below:
Have you purchased from Dar/David Hunt or The Light Shade Studio before?:
(required)
Yes
No
Additional Information:
To confirm you are a human, please leave the next field empty
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