Laser System Quote


Please fill out the following form to the best of your ability. This will allow us to properly evaluate how you intend to use the Laser system(s). This will also allow us to better quote you a proper Laser projector for your usage.


Your Name (First and Last):*
Your E-mail Address:*
Your Phone Number:
Please Reply to My Inquiry Via:*
I Am Interested in Luminance RGB:*
I Am Interested In Performing The Following Type(s) of Shows (Please select all that apply):*
My Approximate Budget:*
I Need Training If I Purchase A System:*
Are You Aware of the Laser Regulations in the USA? (Certification, Variance, Safety Features...etc):*
Do you Currently Hold or have you Held a Class 3B and/or Class 4 Laser Light Show Variance*
If you answered YES Above, Please Provide Your Variance Number(s):
Are You Familiar With Basic Laser Safety Practices?*
If You Had An Opportunity To Purchase a Used or "Second Hand" Laser System for a Discounted Price, Would You Be Interested?*
Will this Laser Be Shipped Outside of the USA? If so, Where?
Any Further Questions? Comments? Details? Concerns or Notes?
Please Verify