To become an authorized dealer with ILLUMIDEL, simply complete this form. We will contact you shortly. Last Name First Name E-mail address Telephone Adress City Province Postal Code Do you run a business? Do you run a business?YesNo What type of business do you run? Website Facebook How long have you been running your business? In which geographic area(s) do you operate your business? How many employees ? Do you currently sell other lighting products? Do you currently sell other lighting products?YesNo List of products Tell us a bit about yourself, your existing business and your vision for Illumidel products in your area 14 + 15 = Submit My account
