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Quick Project Specification Form

Fill out this form for a quick way to communicate to headquarters the specific details of a bid project. Print a copy before you submit if you wish.

Rep Information
Rep Name
       
Rep Email    

Project Information    
Date      
 
Project Name/
Bid Number
 
     
Project
Contact Name
and Address
 
 
Contact Phone            
             
Business: ( ) Extension
             
Mobile: ( )    
   
Project Contact Email  
     
 
Project
Description
 

System Information
Type of System  
 
Lamp Location  
 
Dimming  
 
Power Source  
   
Lamp Size  
 
Secondary  
   

Color Selection
White Temperature
Colored Tubes   Decorative Colors

 
Aquamarine Aquamarine
     
Bright Yellow Bright Yellow
     
Citrus Orange Citrus Orange
     
Coated Cobalt Blue Coated Cobalt Blue
     
Coated Ruby Red Coated Ruby Red
     
Emerald Green Emerald Green
Lite Green Lite Green
     
Lemon Yellow Lemon Yellow
     
Novial Gold Novial Gold
     
Saffron Saffron
     
Sunflower Sunflower
Apple Green Apple Green
     
Clear Gold Clear Gold
     
Coral Rose Coral Rose
     
Deep Violet Deep Violet
     
Green Green
     
Hot Pink Hot Pink
     
Magenta Magenta
     
Ocean Blue Ocean Blue
     
Orange Orange
Pale Blue Pale Blue
     
Raspberry Raspberry
     
Salmon Rose Salmon Rose
     
Sky Blue Sky Blue
     
Super Turquoise Super Turquoise
     
Traffic Light Green Traffic Light Green
     
Traffic Light Yellow Traffic Light Yellow
     
Violet Violet
       

Porcelain Housings (Lamps using 90 degree Electrodes)
Transformer Use Only Ballast Use Only
211R Recessed Interconnect RK 212ST Surface Feed w/J-Box ILLV 200A Surface or Recessed Mount Feed, End Unit
211RT Recessed Feed RK 212SJ Surface Interconnect w/J-Box ILLV 200B Surface or Recessed Mount Feed
211S Surface Interconnect RK 212SJT Surface Interconnect w/J-Box ILLV 200C Surface or Recessed Mount
211ST Surface Feed   and Neutral Feed    
           
European Doubleback Electrodes   Polycarbonate Tube Supports

Other
Secondary Wire   Shielding Type  
Transformer Use Only Ballast Use Only Transformer Use Only Ballast Use Only
       

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