About Civilight

The first step is to tell us about your company. We would establish business partnership based on your answers. We would grant exclusivity dependent on the level of your marketing and business development expertise and initial success in selling our products. Please share as much information as you feel comfortable with supplying. The more you tell us about your company the better we will be able to co-operate with you smoothly in our future co-operations.

Information to be filled in compulsary and correctly with *

1.Company Information:

*Company name
*Office Unit
*Street
*City
*Province/State
*Country
Zip/Postcode
Company Website

2. Contact Information:

*Title:
*Last Name:
*First Name:
Position:
*Mobile phone:
*E-mail:
Direct Line:
*Office Telephone:
Office Fax:

3. Business Infomation:

Business Type:
Number of employees:
*Yearly revenue in U.S. dollars:
Number of years in business:
How did you hear about Civilight?(Use Shift-Click to select up to three):
Vertical focus (Use Shift-Click to select up to three):
How many Civilight units do you plan to sell in the next 12 months?
Please tell us briefly how you plan to promote and sell the Civilight LED lighting products
Your Existing International Sales Region:
*Your interested Products series	Civilight Easylight Sunlight Project
Enter any additional comments in the space provided below

Accounting
Aerospace
Agriculture
Architecture
Banking
Broadcast
Chemicals
Computers
Construction
Data Processing Services
Education (K-12)
Education (higher)
Electronics
Engineering
Government
Health Services
Insurance
Legal Services
Mail Order
Manufacturing
Marketing Services
Mining
Personal Services
Pharmaceuticals
Print/Publishing
Real Estate
Retail
Transportation
Utilities
Wholesale
Other
None