Member Registration - Dauer Manufacturing

Company*

First Name*

Last Name*

Title*

Email*

Shipping Address (No PO BOX Numbers)

Address 1*

Address 2

City*

Country*

State

Province

Zip*

Phone (000) 000-0000*

Are you qualified to make purchasing and financial decisions on behalf of your company?

YES
NO

Are you a member of another professional grade lighting incentive program...if so what company?

Reporting Distributor #1*

Reporting Distributor #2

Reporting Distributor #3

IF YOU PREFER TO REPORT YOUR OWN PURCHASES, PLEASE PROVIDE THE CONTACT INFORMATION OF THE PERSON THAT WILL BE SUPPLYING MONTHLY INVOICES TO DAUER.

First Name

Last Name

Phone (000) 000-0000

Comments

How did you hear about us?*

Referral Other

I would like to be added to your mailing list to receive marketing communications from Dauer Manufacturing.*

*Required field

Power Play Rewards are subject to change or termination at any time without notice. Dauer is the sole interpreter of the rules and program specifics. If there is any dispute or misunderstanding, Dauer’s decision is final. Distributor and contractor accounts must be in good standing.

Product Categories

1.888.DAUER.LED

info@DauerManufacturing.com

Go Farther Faster!

Earn 5,000 bonus points just by signing up today!

Go Farther Faster!

Earn 5,000 bonus points just by signing up today!

Shipping Address (No PO BOX Numbers)

IF YOU PREFER TO REPORT YOUR OWN PURCHASES, PLEASE PROVIDE THE CONTACT INFORMATION OF THE PERSON THAT WILL BE SUPPLYING MONTHLY INVOICES TO DAUER.