Become an Installer - Company

First Name *

Last Name *

Address

Street Address *

City *

State *

Country

Postal Code *

Phone

Email *

Become an Installer - Full Name of Guest

Name of Free Guest

Event Location:
Haven Lighting

2691 Circleport Dr.
Erlanger, KY 41018

Airport Info (Facility is 1 mile from airport / hotels are next door):

Greater Cincinnati International Airport (CVG)

Become an Installer - Training Dates

Wed-Thurs, August 19-20, 2026

Wed-Thurs, September 16-17, 2026

None of these dates work for me, please contact me

By signing this form, I certify that all information provided is accurate. I understand that all information provided will not be shared with anyone other than Haven Lighting. I understand that the training fee is non-refundable. I also understand that this form submittal does not represent or imply any business relationship between you or your company and Haven Lighting, Inc.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others from Haven Lighting at the phone number and email provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

Collect Payment *

$ 1500

Become an Installer - Signature

Clear

Please sign