EDR - Fixture Modification Request

EDR - Fixture Modification Request

Please email variant@amerlux.com if you have any issues with this form.

Project Name*

Project Application*

Select

Name*

Email*

Phone Number*

Amerlux Sales Person

Select

Project Type

Select

Lighting Schedule Type

Select

Project Location*

Architectural Firm

Lighting Designer

Time Frame

Fixture Budget (Per Unit)

Is EDR Part of Larger Project

Select

Fixture Type

Select

Product Name

Fixture Quantity

Wattage

Delivered Lumens

More Important (Wattage/Lumens)

Select

Voltage

Select

Color Temp

Select

Beam Spread

Finish

Dimming Type

Ceiling Type

Ceiling Thickness

Code Requirements

Select

Description*

File Upload

Drag and drop files here or

Send me a copy of my responses

Powered by

Privacy Notice|Report Abuse