MyHalco Online Request Form

You MUST have a Halco Account to request MyHalco access.

You will receive an email with the login and password once approved (within 24 hours).

If this is your first request for your company, a Halco Lighting Sales Support team member may reach out to you to review the overall account administration for your company.

First Name

Last Name

Title

Department

Office Phone

Extension

Cell Phone

Fax Phone

Company Name

Street Address

City

State

Zip

Halco Account Number(Bill to Account# on invoice)

Select the Business this Account is setup for

Please select all options that you would like access to

Price & Availability

Account Inquiry & AR Statement Viewing

Order and Invoice History Display

User Admin for all users in your Company

Order Placement

Who Authorized this access from your Company?

Name

Title

Date(MM/DD/YYYY)

MyHalco Online Request Form

MyHalco Online Request Form

Account Benefits