* Please check all the lighting and/or ceiling fan needs for which you are inquiring is: (Please click all that apply)

* Do you need?

* Please share any other details about your light fixture(s) and/or ceiling fan(s) that will help us choose the best merchant to serve you.

* Please indicate how many screened and approved contractors you want to contact you. We are committed to protecting your privacy; your request for information is therefore only shared as you authorize.

* Please provide the contact information below that will only be shared with your assigned dream merchant.

* How were you referred to us?

* Authorization: By clicking "Accept" below, I am voluntarily and of my own free will authorizing a Dream Pro participating merchant to contact me for the purpose of helping me achieve the dream or goal I have indicated. I am under no obligation to use this merchant and if I elect to utilize the services of the referred merchant, I do so of my own free will, and indemnify and hold harmless Dream Dollars, Inc., The Dream Pros, llc, its affiliates, officers, agents and employees from any damage, losses or liability which may result from my choosing to use the services of a merchant referred through the Dream Dollars program.

Client Satisfaction: If I am not happy with the services of the merchant referred, I understand that I can go back to the Dream Dollars program to be referred to another merchant.

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