Lighting Design Form

Company Name

Contact Person

Your email

Date

Submit Date

Activity Type (list all):

Project Name

Location Name

Location Address

Project Information

RetrofitNew Construction

Class of play (refer to the Table 1) and/or desire footcandle:

Existing mounting height or desire pole height:

Location site voltage input:

Existing fixture output wattage, counts and types:

Existing pole material and condition:

Location site wind speed refer to Table 2 and local code:

Estimate budget:

Lighting control options:

On/Off0-10V DimmingNetwork Control

Your message (optional)