Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Light Model *

Argon (AG)

Atom (EM)

Photon (GK)

Quantum (WN)

Titan (TI)

Retro AGRX

Retro AURX

Retro EMRX

Retro GKRX

Retro WNRX

Matrix Strip Lighting

ED-Argon (DC)

ED-Atom (DC)

Lighting Controllers (RM2/RM3/RMWF)

Date of Installation *

MM

DD

YYYY

Installed in a: *

Pool

Spa

Pool/spa Construction Type: *

Concrete

Fibreglass

Vinyl

Keep me up to date *

I would like to be kept up to date with the latest products and offers from Spa Electrics.

Yes, Keep me up to date

No thank you

By submitting this form I hereby agree to the terms and conditions of Spa electrics Pty Ltd Warranty Policy *

Yes, I Agree.