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Lamp Illumination Quote Request

Company Name
First Name
Last Name
Address 1
Address 2
State Zip
E-Mail Address
Fax Number

Outside Diameter
Overall Length
Without Leads
Lead Length
Lead Type
Base Description
Volts Max
Volts Min
Amps Max
Amps Min
Color Temp Max
Color Temp Min

Spectral Range nM
Light Output
Lamp Life Hours
Output Degradation
to Burnout

Spot Size
@ Distance

Delivery Timetable

Quantity required for Prototype Prototype Timing
Quantity required for Production Production Timing


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