subject_line
Dealer Portal Registration
First Name
*
Last Name
*
Email Address
*
Company Name
*
Phone Number
*
Address
*
City
*
Address 2
State/ Providence/ Region
*
ZIP/ Postal Code
*
Country
*
What type of organization is your company?
*
Distributor
Integrator
Partner
Reseller
Other
What category of business is your focus?
*
Audio/Visual
Security
Networking/ IT
Electrical Contractor
Other
Other
What percentage of your installations are residential?
*
0% - 25%
26% - 50%
51% - 75%
76% - 100%
What percentage of your installations are commercial?
*
0% - 25%
26% - 50%
51% - 75%
76% - 100%
Where do you currently buy Luxul products?
*
What other networking brands do you use?
*
What is your annual revenue range?
*
0 - $49,999
$50,000 - $99,999
$100,000 - $199,999
$200,000 - $499,999
$500,000 +
How many employees do you have?
*
Stay Informed: Would you like to receive email communication from Luxul?
*
Yes
No
Choose
which communications to
recieve
Note:
If you do not choose your communications, you will not recieve any Luxul emails