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)