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APPLICATION FORM
* Required Fields
Date
*
Job Name
*
Rep Agency Name
*
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Contact Name
*
Telephone
*
Email
*
For All Lighting Layouts and Calculations we require a DWG file or a Scaled PDF indicating Pole Locations and Heights. Clearly Mark the Areas to be Illuminated.
Foot-candle Criteria: Specify fc criteria for each calculated area:
Average fc
*
Max
Min
Max/Min
Avg/Min
Other Criteria
Notes
Poles
How many different Pole Heights are there?
*
Pole Heights #1 (in ft)
*
Pole Heights #2 (in ft)
Pole Heights #3 (in ft)
Site Information
Indoor
Reflectances
Type of Activity
Room Dimensions
Length
Width
Height
Outdoor
Building Reflectance
Type of Activity
B U G of luminaire desired
Pole Location*
*
Pole Location*
Use Existing
Place As Needed
Spill Light / Property Line Issues
Notes
* Required Fields
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