Trade Show Display Unit Request | dealers.aquaillumination.com

Terms and Conditions
(1) We only provide display units for shows that we are attending. (2) Requests must be submitted at least 2 weeks prior to the show date. (3) Submission of the form is not a confirmation. (4) Please confirm your order with your sales rep.
Trade Show Name*
Booth Number*
Store Name*
Store Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name of company contact attending show*
This person will be responsible for collecting the units and returning them at the end of the show
First Last
Phone of company contact attending show*
Email*
Units Requested
All units will be subject to availability and confirmation with a sales rep. Display units provided at the show will be available for purchase a special discounted price or can be returned in working order with no charge.
Prime HD
- Prime HD - White
- Prime HD - Black
- Prime HD - Freshwater
- Prime HD - Fuge
Prime HD Quantity
Option
- 12" flex arms
- 18" flex arms
Nero
- Nero 5
Nero Qty
Name
This field is for validation purposes and should be left unchanged.

Terms and Conditions