Smart Lighting Usage Data Consent Form

Full Name

First NameLast Name

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address (optional, for service area verification)

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Smart Lighting System Brand

Number of Smart Lighting Devices Installed

Which types of smart lighting devices do you use?

How frequently do you use your smart lighting system?

Would you like to receive updates or reports based on your usage data?

If you have any questions or comments, please let us know below:

Signature (please sign to confirm your consent)