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elliptipar Applications Checklist
The following information is required so we may provide you with prompt and accurate design assistance.
PROJECT:

Name:

  

Location:

  

Specifier Name:

Firm:

E-mail:

Telephone:

 

Fax:

Please check one of the following:

 

 Architect Engineer Interior Designer Lighting Designer Other
Representative:

Name:

Office:

Telephone:

Fax:

SPACE

Use/Function:

Structure:

  wide  X  long  X  high

 

 Note: Non-rectangular spaces or those with irregular ceiling require dimensioned plan and section drawings.

Finishes:

Material Reflectance  Matte  Semi-gloss Specular

Ceiling

 %

Walls

 %

Floor

 %

 

 Note: Skylights, trusses, beams, exposed ducts or other ceiling obstructions, and large wall openings or windows should be clearly defined on the plans, sections, and/or elevations. Include type of glass, finish on trusses, etc.
LIGHTING:

Preferred Sources:

 Tungsten Halogen  Fluorescent  Metal Halide  HPS  LED 

Luminaire Catalog No:

Mounting Height:

   Above finished floor  Below ceiling 

Target Illumination Level:

 (Footcandles average initial)  fc at (above finished floor)  inches

Total Light Loss Factor for maintained values:

Design Goals/Special Instructions:
FILE ATTACHMENTS:

Attach drawings, floor plans, etc., in the fields below.

   
 
 
RUSH - Requested Date and Time: 
SUBMIT:
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