First Name
Last
Name
Business
Business Description
Position
Business
URL
Street Address
Address (cont.)
City
State/Province
(Two-digit abbreviation
only, please)
Zip/Postal Code
Phone
Numbers only
FAX
E-mail
You
will be receiving a proof via e-mail
How Many Lights will You
Need?
*Minimum Order of 300 Lytes
What color ink
are you
interested in?
*Maximum 1 Color
What color
InstaLytes
will you need?
Please Choose One
white instalyte
color changing
Red Lytes- Red Casing
Amber Lytes- Amber Casing Teal Lytes- Teal Casing Green Lytes- Green Casing
Blue Lytes- Blue Casing Purple Lytes- Purple Casing Orange Lytes- Orange Casing
Pink Lytes- Pink Casing
To select more than one
option, please hold the Ctrl key (on your keyboard)
while making your selections.
To Better Serve you,
Please tell us if you want the disposable or the on/off
instalytes?
Please Choose One
Floral Applications
Promotional Applications Party Favors Votive/Candle Alternatives
Catering Uses Craft Uses
Other- Please Specify Below
To select more than one
option,
please hold the Ctrl key (on your keyboard) while making
your selections.
If other please specify use:
What design
or text would you like to have imprinted on your light?
Please Choose One
Animal
Text
Logo
Other- Please Specify
If we can find your logo
on a website, please enter the domain name below
If you need to
email us your logo , please Click Here, and add the
logo as an attachment.
Please
remember that the
lights are small so the visual effect may be better for
a logo to have "less" detail as opposed to "more"
detail.
If there
is any other information that you would like us to
know about your logo please enter it here:
For
example, if the animal on your logo is very similar to
the animal of a famous football team, we can use a
similar body style or position to resemble the mascot.
How did
you hear about InstaLyte?
Choose One
Internet
Colleague
Friend
Trade Show
Party
Flyer/Brochure
Advertisment
Other
If you
found us online, please submit your keywords, search
engine, or the referral website address.
If you selected "Other" from the above box, please
specify.
Thank you for your cooperation!