Request For Quote Form
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RFQ Form
-Please fill out/ mark X at the appropriate fields.
-Red field are mandaotry fields.
Given Name ______________________________________ Last Name _________________________________________
Email _____________________________________________ Phone ___________________________________
Country ___________________________________________ State ___________________________________
City ________________________________________________ Zip code _______________________________
Project location
Same as above
Country ___________________________________________ State ___________________________________
City ________________________________________________ Zip code _______________________________
Application
Other
Prefered model
Not sure
-Please fill out either A or B
Retrofit Unit
A.
(using existing parts)
Existing light source
Other
____________________________________________________
HPS
Wattage
_________________________
Lumen output
_________________________
Pole shape
______________
Diameter
____________
Material ______________
Exisitng poles
inch
Wood
Round
Arm length _____________________________ (distance between fixture and pole)
inch
Mounting height _______________________ (distance between fixture and ground)
inch
Pole arm
Use existing arm
Size of the area
Width
___________________
Length
_______________
inch
inch
Required distance between poles?
________________________________
Do you have any
No
feet
requirements?
Required brightness?
________________________________
No
Required fixture Wattage?
______________________ watt
No
Wind resistance?
No
KPH
Working mode
Standard (dusk to dawn, half night 50% dimming)
B.
New Lights
Do you have CAD files?
Yes
Size of the area
Width
___________________
Length
___________________
inch
inch
Required distance between poles?
________________________________
Do you have any
No
requirements?
Required brightness?
________________________________
No
Required pole height?
No (use stand
_______________
inch
No
Required fixture Wattage?
____________________ watt
No
Wind resistance?
MPH
No
Working mode
Standard (dusk to dawn, half night 50% dimming)
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