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Lighting Application Request Form

Please complete no later than:
Please submitt your request to: Scott@wardandburton.com
OR fax to: 314.821.6226

All fields marked with an (*) are required.
*Your Name Today's Date
Company Project Name
*Phone Project location
*Email    
Your Ward & Burton
Sales Rep:
   
 
Work Requested
New Layout
Design Recommendation
Layout Verification
Poles may be relocated
Files included
PDF file name:
DWG file name:
DXF file name:
AGI file name:
hand sketch:
Attach files here:
INDOOR Criteria
Manufacturer Catalog #
Luminaire
Room Info
Length
Width
Height
 
Work Plane Ht
OAL Suspension
 
Reflectance
Ceiling
Wall
Floor
 
Ceiling Type
Row Spacing
 
Desired FC level
 
Other criteria
OUTDOOR Criteria
Manufacturer Catalog #
Luminaire
Pole
Wall Mt
Garage
Garage
 
Type/Wattage/ Lumens
Pulse Start MH
Standard MH
HPS
CFL
LED
 
Desired Mtg Ht
Maintenance Factor
Building Reflectance
 
Foot Candle Levels
Average FC
Minimum
Maximum
Uniformity Max/Min
 
Other criteria
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