Please Submit Architectural Lighting Manufacturer's Only

-----------Submit information below------------

Company Name:

Street Address:

City:

State/Country:

Zip code:

Phone:

Fax :

Your Company Web Page Address: http://

Your Name:

Your Email address:

Comments:

Payment Options:

If you would like to pay by check:

Step 1. Print this form on your printer and send check for $20.00 USD to:

Lighting-Inc.Com
1236 Wood Station Place
St. Louis, Missouri, 63021

Step 2. Press "Submit Form" button
When check is received your listing will be posted

.

If you would like to pay with credit card:

Step 1. Press "Submit Form" button
you will need to press back button on your browser to return here.

Step 2. Press PayPal button

Data will be posted within 2 working days after payment is processed by PayPal

Thank you ...
davidmunson@davidmunson.Com
314-369-3913

----------------------------------------

Copyright © 2004 LIGHTING-INC.COM All rights reserved.

8-3-2004