*Indicates Required Fields

Company Name*
Contact Person*

Phone*
 Fax
Email Address*

P.O. Number

Date

Catalog Number*

Lamp Required*

If LED lamp or luminaire, please indicate preferred voltage or current for operation during test..
     
Type of Photometric Test Requested

Indoor Roadway Floodlight

Lamp Photometry (Performed in Integrating Sphere)

Lamp Photometry (Performed on Goniophotometer)

  
   
  VCP Table (additional cost)
Yes No

   Isofootcandle Plot (additional cost)
Yes No       Mounting Height 

   Quick Select Table (additional cost)
Yes No

  Circle of Light (additional cost)
Yes No

Mounting Height (If Roadway Test)
Disposition of Luminaire After Testing

Our standard method of shipping is UPS ground. If you prefer an alternate method of shipping please indicate your preference in the Special Instructions area.

Return (3 weeks after testing is complete)

Return immediately after testing

Scrap

Hold for further testing
Special Instructions

905 Harrison Street * Allentown, PA 18103 * (610) 770-1044
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