Factory Discounts- Baumalight

Name*:

Phone number*:

(Enter a valid phone number.)

Email*:

(Enter a valid email address.)

How did you first hear about Baumalight*:

(Provide information about how you first heard about Baumalight.)

Product of interest*:

(Specify the product you are interested in.)

Carrier*:

(Select at least one carrier.)

Carrier model*:

(Enter the model of the carrier.)

Address*:

(Enter the Address.)

City*:

(Enter the city name.)

Province/state*:

(Enter the state name.)

Postal/zip code*:

(Enter the postal/zip code.)

Most Farm Equipment dealers, Industrial Excavator dealers plus some Small Engine dealers have access to Baumalight Equipment

Preferred dealer*:

(Enter the preferred dealer.)

Type of operation*:

(Enter the type of operation.)

Type of media I am able to supply*:

(Select at least one media type.)

If you don’t have any Social Media Channel, Type "NONE"

Media Channels*:

(Type "NONE" if you don’t have any)

A brief explanation of my goals for this partnership:

(Enter atleast 60 words.)

Captcha*:

(Complete the reCAPTCHA verification.)

PHOTO / VIDEO COOPERATION