Quote and Order Form

Receive A Free E-mail Price Quote
and Order Bulbs

*required field

*First Name:	*Last Name:
*Mailing Address:
*City:	*State:
*Zip:	Country:
*E-mail:	Phone:



Choose either a bulb type/shape or a product/fixture
Bulb Type/Shape: help	OR Other Products/Fixtures: help

Light Color: help	Dimming/3-Way? help

Desired equivalent incandescent wattage:	AND/OR Desired CFL wattage: help

Desired lumens: help	Is the product for wet locations?

Do you want a modular (replaceable) bulb? help

Comments/Extra Specifications (please mention particular size limitations and if a locking base is desired):



Green Lantern is not accepting quote requests at this time. We apologize for any inconvenience this may cause.

Contact: e-mail: green-lantrn@juno.com
            PO Box 413
            Abita Springs, LA 70420
            US