Request for WQE Lighting Applications Services

Job Name: *

Job Site (City/State): *

Sales Representative:

Representative Agency:

Request Type:

Bi-Level

Dimming

Tri-Level

Product Description:

Relevant information (Prefered Wide-Lite fixture series, types, wattages, sources, structural considerations and/or restrictions, pole specifications, etc.)

Drawing Available:

Yes

If so, you will be prompted to upload your file or be given mailing instructions later.

Indoor project details

Room Length:

Width:

Floor to Clg.Ht.:

Work Plan Height:

Mtg.Ht. For Fixture:

Reflectances

Ceiling:

Wall:

Floor:

Preferred Fixture Series:

Preferred Lamp:

Desired Average Fc:

Initial:

Yes

Maintained:

Yes

Outdoor project details

Areas to be illuminated must be clearly marked

Average FC::

Initial:

Yes

Maintained:

Yes

Minimum Fc At Any Point:

Uniformity (Max:Min):

Preferred Fixture Series:

Preferred Lamp:

Fixture Quantity (if known):

Mounting Height:

Pole Restrictions:

Perimeter Restrictions (LEED/Trespass):

Restrictions (Community/City/County):

Sports Lighting

Consult Factory prior to initial request

Type of response you're looking for:

Fixture quantity to verify Fc goal

Fc achieved with specific fixture count

Point by Point information for the space in an electronic format - DWG* or PDF file

Complete full size architectural type drawing to be mailed FedEx Ground (5-7 business days)

Requestor/Sender Information

Requested By:

Company:

Street Address:

City:

State:

Zip:

Email:

Phone:

Fax:

Send Layout To::

Same as above

Contact:

Company:

Street Address:

City:

State:

Zip:

Email:

Phone:

Fax:

Layout Format Requested: *

Electronic - DXF

Electronic - PDF

Note: Please provide drawings in .DWG or .DXF format by e-mail when available. If drawings are provided, they must be to scale or have proper dimensions.

Notes:

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