23105 Kashiwa Court, Torrance, CA 90505

PHONE: (800) 579.4875 / (310) 534-1505 / FAX: (310) 534-1424

Company Name: __________________________________________________ Completed By:

___________________
Address: _________________________________________________________
Phone:
Contact: _____________________________ Phone: ( )________________ ( ) _______________

Architectural Lighting Qualification Questions

If it is a retrofit:
Are they satisfied with existing light levels? _________________________________________

What is the existing lamp spec/description/part number that is being replaced?

___________________________________________________________________________

Provide ballast information if available ____________________________________________

Provide high voltage input information ____________________________________________

What is the current style or type of fixture? PLEASE PROVIDE PHOTO

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Does the customer require DLC, LDL, or Energy Star for utility rebate programs?
___________________________________________________________________________

If it is new construction:
Submit architectural, lighting designer, or contractor plans OR consult with factory

R.O.I. Calculation:
Gather information needed for R.O.I. and utilize Energy Savings Calculator

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