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
Project Information
Date
Month...
January
February
March
April
May
June
July
August
September
October
November
December
Day...
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year...
2009
2010
2011
2012
2013
2014
2015
Project
Contact Name
and Address
System Information
Type of System
Select Type...
Interior - Dry
Exterior - Damp
Exterior - Wet
Lamp Location
Select...
Cove
Other
Power Source
Select Type...
120 MA Transformer
120 MA Ballast
150 MA Ballast
200 MA Ballast
240 MA Ballast
Lamp Size
Select...
18mm
20mm
25mm
Secondary
Select...
120 v
240V
277V
Color Selection
White Temperature
Select...
1900K
2400K
2800K
3000K
3500K
4100K
4500K
5000K
6500K
7100K
8300K
Colors represented here are illustrative only and do not represent actual lamp colors.
Colored Tubes
Decorative Colors
Porcelain Housings (Lamps using 90 degree Electrodes)
Transformer Use Only
Ballast Use Only
European Doubleback Electrodes
Select...
Not Applicable
Electrodes Down
Electrodes Up
Electrodes to Front of Lamp
Electrodes to Rear of Lamp
Polycarbonate Tube Supports
Select...
None
2"
Other
Secondary Wire
Shielding Type
Transformer Use Only
Ballast Use Only
Transformer Use Only
Ballast Use Only
Select...
GTO 10
GTO 15
Select...
#14 x 1000v
Select...
Up to 20' (Metallic Conduit)
Up to 50' (Non-Metallic Liquid Tight)
Select...
Up to 75' (Non-Metallic Liquid Tight)