Enter to Win!

Enter to Win!
Please help us improve our services...we'll reward you for your input! Each month we send a $50 gift certificate to a web visitor who has completed our customer survey. This winner is picked from all the web surveys we have received during the month. The gift certificate is our way to say thank you for visiting and taking the time to give us your feedback. All winners will be notified by mail. Only one visitor drawn per month.

First Name:	Last Name:
Address:
City:	State:	Zip:
E-mail:	Confirm E-mail:
Phone:
Did our website provide you with the information you were looking for?		Yes No
Additional comments about the website:
Did you visit our store or talk with a lighting consultant as a result of visiting our website?		Yes No
If so, was your visit a positive experience?		Yes No
Additional comments about your store visit:
How did you hear about lucía lighting & design? Please check all that apply.	Personal referral Newspaper Ad Radio Ad Mailer
Please contact me via e-mail
Please contact me via phone

Please don't click the 'Submit' button more than once. It might take a minute or two to process your request. You will receive a confirmation once the form has been submitted. Thank you!