Smashray

Online Application Form for Test Drive Program

Please fill out the simple form below and a Smashray representative will contact you.

First Name:
Last Name:
Company Name:
Title:
Street Address:
City:
State or Province:
Zip:
Country:
Phone:
Email:
Smashray product you are interested in test driving:		V-LUXA V-BRIGHT V-NOVA
Quantity (4 maximum):
Application (i.e. school, hospital, industrial plant, etc):
Total # of units in potential project:
Reason for requesting a test drive:
Comments:

Test drive program participation is subject to approval at the sole discretion of Smashray.

For inquiries in the US and Canada please call
1-877-860-2440 or e-mail us at sales@smashray.com
6450 Weatherfield Ct. Maumee, OH 43537