Company
    Contact Name
    Date
    Contact Phone
    Contact Email
    Project Name
    Reference Sales Order
    Address Line 1
    Address Line 2
    Your State
    Your City
    Your Zipcode
    Quantity
    Type Lighting
    Product Part Number
    Description of Problem
    File Upload
    Please upload any supplemental pictures or videos you may have regarding the defective equipment. Security is a huge priority for us at Visionaire, so we restrict file types to safe files only. These are: - Images like .png, .gif, .jpg - Documents such as .doc, .xls, .ppt, .pdf - Audio like .wav, .mp3, .mp4 - Video like .mpg, .mov, .wmv