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Fixture Modification Request (EDR)

*Business Email:

Request Info

*Name:

*Email:

*Company Name:

*Phone:

Type of Company:

Architecture/Interior Design Firm

Lighting Designer

Rep

Other:

Project Info

*Project Name:

*Project Location:

*Project Type (restaurant, retail, etc.):

Architectural Firm (optional):

Lighting Designer (optional):

Modification Info

Lighting Schedule Type:

Please either upload the lighting spec or indicate lighting schedule type.

Lighting Schedule (upload 10 MB max PDF file):

OR

Prime Spec

Alternate Spec

Equal to Spec

Spec Opportunity Quantity:

OR

Linear Feet:

Pattern:

Yes

No

# of Patterns:

Part of larger project:

Yes

No

*$ amount (optional):

*Time Frame:

*Product Name/Type:

*Fixture Budget:

Lighting Source (optional):

Wattage/Delivered Lumens (optional):

Voltage (optional):

Finish (optional):

Ceiling Type (optional):

Dimming Type (if required):

Code Requirements (check all that apply)::

Chicago Plenum

International

Insulated Ceiling

CE

IP Standards:

UL Rating:

CCC

*Modification Description:

Additional information to help us better understand your request:

Attach Sketch (upload 10 MB max PDF file):

Alternate Spec (upload 10 MB max PDF file):

Interior

General Illuminations Track Heads Downlights Multiples Linear Systems Pendants Shelf Lighting Track / Power Systems Hospitality & Residential LED Retrofits - Interior

Exterior

Step & Recessed Wall Flood & Accent Pedestrian & Walkway Post-Top Luminaires LED Retrofits - Exterior Wireless Controls Wall Luminaires Poles Brackets Garage Lighting Bollards Accessories Site & Area Utility Fixtures

Company

About Us Latest News Amerlux Blog Show Schedule Media Center Locate Your Sales Rep Contact Us Contact Amerlux^® Sales Sales Login International Resources Login

Additional Information

Amerlux Patents Product Discontinuation List Fixture Modification Request (EDR) Careers AIA/CES Courses Warranty

Headquarters

178 Bauer Drive Oakland, NJ 07436 USA T: +1-973-882-5010 F: +1-973-882-2605

Oxidated Carpark 2nd Floor No. 124 Donghuan Road,
Donghuan Jie Panyu, Guangzhou PRC 511400

@AmerluxLighting

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