Required fields
Name
Title
Company
Email
Phone
Fax
Address
Reflector Details:
1.
Is this a request for a reflector design?
Yes
No
2.
What is the application?
Indoor
Outdoor
Automotive
Other
If other, please explain
3.
Do you have any material preferences?
Yes
No
If yes, please explain
4.
Are there any tooling restrictions?
Yes
No
If yes, please explain
5.
Will the reflector be?
Extruded
Segmented
Other
If other, please explain
6.
How do you plan to manufacturer the reflector?
Hydroform
Spinning
Other
If other, please explain
Lens Details:
7.
Is this a request for a lens design?
Yes
No
8.
What is the application?
Indoor
Outdoor
Automotive
Other
If other, please explain
9.
Do you have any material preferences?
Glass
Acrylic
Polycarbonate
Other
If other, please explain
Lamp Details:
10.
Do you have a preference for the primary lamp to be used in this design and / or your product?
Yes
No
11.
If yes, please specify as much information about the lamp as possible:
Type:
Metal Halide
HPS
Fluorescent
Other
Wattage:
Envelope Style:
Style of Base:
Manufacturer Preference:
Catalog Number:
12.
Do you have a preference for a secondary lamp to be used in this same design and / or your product?
Yes
No
13.
If yes, please specify as much information about the lamp as possible:
Type:
Metal Halide
HPS
Fluorescent
Other
Wattage:
Envelope Style:
Style of Base:
Manufacturer Preference:
Catalog Number:
14.
If the lamp is not manufactured for the North American market, can you supply two samples?
Yes
No
Not Applicable
Housing Details:
15.
Have you selected a housing?
Yes
No
16.
If yes, can you provide drawings / sketches of the interior?
Yes
No
17.
Are there any obstructions that may affect reflector, lamp, or lamp socket placement?
Yes
No
If yes, please explain
18.
Is there any system components that may affect the light output or path?
Yes
No
If yes, please explain
19.
If necessary, can a sample housing be supplied?
Yes
No
20.
What are the dimensions of the luminous opening?
21.
Have you selected a lens for the housing?
Yes
No
22.
If yes, what is the material of the lens?
Glass
Acrylic
Polycarbonate
Other
If other, please explain
23.
Can you provide drawings / sketches of the lens?
Yes
No
Not Applicable
Performance Specifications:
24.
Luminous Output
Desired Efficiency:
Beam Location:
Beam Dimensions:
What defines the edge of the beam:
50% of max
10% of max
25.
Area Illuminance (What area will the luminaire illuminate)?
26.
Location of area (relative to the luminaire)?
27.
Area Dimensions?
28.
Illumination levels:
Footcandles
Lux
Other
Average:
Max / Min:
Maximum:
Max / Min:
Minimum:
29.
Any luminance requirements?
Miscellaneous:
30.
How are the final production pieces to be manufactured? What restrictions are to be placed on the design relative to tooling / manufacturing?
31.
Are there any environmental restrictions?
32.
Any other details you would like to include?
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