ARCHITECT ORDER FORM
*Name:
Firm Name:
*Address:
*City:
*State:
*Zip:
*The installation address is...
*Phone Number:
*Fax Number:
*Email:
*Address of VELUX Installation:
*City:
*State:
*Zip:
Personal
(To qualify for this program, the following information is needed to confirm your status as an architect.
If the questions under this category do not apply, a VELUX rep will be contacting you for more information. Thank you.)
Are you a member of the AIA or AIBD?
     If so, please indicate AIA/AIBD membership number:
If you are not an AIA or AIBD member but are a licensed architect, please enter license number:
Business
What is the % breakdown of residential and commercial business at your firm?
     Residential Commercial
If you design primarily commercial structures, in which two (2) segments do you focus most?
      Institutional Urban Mid-Rise Sloped Roof Commercial Other
What is your firm's approx. number of projects annually?
     How many of these include skylights?
Do you specify skylights by brand name?
     If so, which brand do you prefer? Residential: Commercial:
If you specify commerical skylights, do you prefer acrylic or polycarbonate?
How often do you believe you will incorporate skylights in the next five years?
Select the top two aspects that will impact your decision to use skylights in future projects:
     1. 2.
VELUX America Inc. is an AIA and AIBD CES Provider.
Would you be interested in a continuing education program from VELUX?


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.
Line #
PRODUCT
Qty
Size
Glass Type/Cladding
Flashing
Accessory
Quantity
1
2
3
4
5
6
7
8
9
10
Special Instructions
(Include any options not listed above)
Credit card information will be needed when a VELUX rep calls to confirm your order.
Your credit card will be billed for list price less 40%, plus a S&H charge and sales tax as applicable.