Lighting Layout Design Request Form

* Required Fields

*Project Name:

*Project Measurement
Preference Feet
Meter

*Date Required:
mm/dd/yyyy

Project Address:

Project Description:

*Contact:

*Email:

Phone:
(###) ### - ####

Fax:

AutoCAD dwg file(s)

File

For Exterior Layout

Site size (X):

Site size (Y):

Fixture Mounting Height:

Work Plane:

For Interior Layout

Room size (X):

Room size (Y):

Room size (Z):

Reflectance's ceiling:

Reflectance's Wall:

Reflectance's Floor:

Fixture Mounting Height:

Work Plane:

Atmospheric Conditions:

Desired Lamp Source:

Required Light Level (Lux):

Foot Candle (Fc):

Pauluhn Light Fixture Catalog Number

Luminaire 1:

Luminaire 2:

Luminaire 3:

Special Instructions
or Notes:

Request Submitted By:

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