 | ARCHITECT ORDER FORM
Note: This program provides a 40% DISCOUNT up to $1500.00 for VELUX products when installed in the personal residence or place of business of a licensed architect, certified residential designer or certified interior designer. The maximum discount is applied only on orders of $3,750 or more.
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| *Name: |
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| Firm Name: |
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| *Address: |
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| *City:
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| *State: |
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| *Zip: |
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| *The installation address is... |
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| *Phone Number: |
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| *Fax Number: |
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| *Email: |
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| *Address of VELUX Installation: |
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| *City: |
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| *State: |
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| *Zip: |
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| Personal
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| (Please confirm your status as a licensed architect, certified residential designer or certified interior designer.) |
|  Are you a member of the AIA or AIBD?
(AIBD members are confirmed by AIBD Corp.) |
| AIA members, please indicate your AIA membership number:
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|  If you are a licensed architect, please enter your license number:
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|  If you are a certified interior designer, briefly describe your current role within your firm, years of experience, and education. If needed,
a VELUX representative will contact you for more information.
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| Business
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|  What is the % breakdown of residential and commercial business at your firm? |
| Residential
Commercial
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|  If you design primarily commercial structures, in which two (2) segments do you focus most? |
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|  What is your firm's approx. number of projects annually?
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| How many of these include skylights?
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|  Do you specify skylights by brand name?
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| If so, which brand do you prefer? Residential:
Commercial:
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|  If you specify commerical skylights, do you prefer acrylic or polycarbonate?
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|  How often do you believe you will incorporate skylights in the next five years?
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|  Select the top two aspects that will impact your decision to use skylights in future projects: |
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2.
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| VELUX America Inc. is an AIA and AIBD CES Provider.
Would you be interested in a continuing education program from VELUX?
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Instructions for Ordering:
Begin your selection by clicking in the first cell on line #1. Select your product from the list that will appear.
Continue with Line #2, etc. if more product is needed. |
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| Credit card information will be needed prior to finalizing your order. Instructions will be given when you receive your email order confirmation.
Your credit card will be billed for list price less 40%, plus a S&H charge and sales tax as applicable.
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