Company:

Name: Phone: Date:

Address:

City: State: Zip:

Implementation Location:

Address:

City: State: Zip:

What is the primary function of the lighting:
ExternalParking
Multi-floors Parking
Shopping Area
Warehouse
Street Lighting

Is the building air conditioned, if so please indicate

Sq/Ft: Height: Chillers:

The Accuracy of the following Important Electrical Systems Information will enable IEO to provide an accurate quotation.

Please complete one of this form for each location:

Main Power Source feeding the lighting panel:

Lighting Circuite, Panel No

Amps: 1, 2 & 3: Lamp's watts & type

Voltage

Number of lamps (indoor same size)

Number of lamps (outdoor same size)

Totals

Hours a day lights are on

Ballast's Specifications

Please be prepared to send three copies of the original electrical bills (Summer, Winter and Spring)