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Street Light/Lamp Post LED Questionnaire

MOST IMPORTANT!
For best result, the LED emitted color must be the same as the lens/filter color Any LED emitted color will work behind a waterclear or white lens
The following information will assist in determining the most appropriate and cost-effective LED lamp product to supply as a free or a paid sample.
LEDtronics will contact you if the sample request is denied.
About you
 
The following information will assist 
in determining the most appropriate 
LED product to supply as a SAMPLE. 
For fast response fax to (310) 534-1424.
Name *
Company
Address *
City *   State
E-Mail
Phone *
Fax
M/s
Country
Zip
About your Company

What does your company manufacture 

Is your company Govt/Military Govt Contractor OEM Distributor Utility MRO
Requirement is for R&D Replacement New Application Other
Total annual quantity

Target price Time frame Immediate 3 months 6 months
For internal use
SIC code 
Originator:
Rep:        
Current Customer YN
About your application
Incandescent lamp type:
Lamp fixture model name & number:
Lamp part number:
Wattage of lamp:Watts
Line voltage:   AC  DC
Operating voltage:   AC  DC
Lumen rating:Lumen
Height of lamp fixture to ground level:ft.
Area of illumination:ft. x ft.
Light reading requirements: A:B:C:D:E:
foot candle candle lux lumen
Applicable statutory and regulatory requirements:Yes No if Yes, Document No.
Will you fax us a copy?Yes No
Will you provide a sample of your light fixture?Yes No


Additional Notes/Sketches:



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LEDTRONICS, INC 23105 Kashiwa Court, Torrance, CA 90505 
Phone: (800) 579-4875 or (310) 534-1505 Fax: (310) 534-1424 
E-mail: webmaster@ledtronics.com
Website: http://www.ledtronics.com