Contact Dazor

Thank you for your response and interest in the Dazor products. Please fill out the following form so that we may better serve your needs or call us at 1-800-345-9103.

 

Name:
E-Mail Address:
   
Address:
City:
State: / Zip: /
Home Number:
Work Number:
Fax Number:
   
How would you like Dazor to contact you: E-Mail
Phone
   
   
I would like information about: Entire Product Catalog
Specific Products (please describe below)
 
   
How will the lights be used: Commercial Residential
   
  Commercial Lighting Interest:
  Distributor / Dealer
Person Who Specifies Task Lighting
End-User
OEM
Other (please describe below)
 
   
  Residential Lighting Interest:
  Home / Office
Cross-Stitch & Needlework
Crafts, Hobbies, Fly-Tying
Low Vision & Reading
Workshop
Other (please describe below)
 
 
Task lighting purchase timeline:
   
Your application for task lighting:
   
   
How did you find the Dazor web site:
Trade Article in:
 
Direct Mail Piece
Referral
Had a Catalog
I'm Currently a Customer
Thomas Register
Yahoo
Alta Vista
Google
AOL
MSN
Other: