Streetlight LED Application Questionnaire
The following information will assist in determining the most appropriate and cost-effective LED lamp product to supply as a a paid sample. LEDtronics will contact you if the sample request is denied.
Information requested on this form is primarily optional. The more information you provide, the better we'll be able to serve you.
Required fields are marked with an asterisk*
.
About you
First Name
*
Last Name
*
Company
Title
Address
Address2
City
State
ZipCode
Country
*
United States
***[Select Country]***
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia/South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican city state
Venezuela
VietNam
Virgin Islands (British)
Virgin Islands (US)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Phone
Fax
Email
*
Company Website
About your Company
Is your company...
(ie; Govt/Military, OEM, Distributor, Utility)
What does your organization do?
(If OEM)
Requirement is for...
(ie; R&D, Replacement, New Application)
Estimated quantity required:
Target price:
Timeframe
(ie; Immediate, 3 months, 6 months)
About your Application
Your existing lamp source type:
(If replacing)
Your existing lamp fixture type:
Model name/number:
Or select a generalized category:
(Complete light housing and lamp - cobraheads, shoeboxes - or just the lamp)
Roadway Cobrahead Styles
M250/AEL115-Style Cobraheads
M400/AEL125-Style Cobraheads
M250/AEL115-Style Modules
M400/AEL125-Style Modules
Post-Top Lamp Replacement: Screw-in Lamps:
E39-Mogul, E26-Medium, E27 Euro
Acorn-Style Post Top
E39-Mogul or E26-
E27-Medium Screw
base;
Lamp Only
Conical Cap Post Top
E39-Mogul or E26-, E27-
Medium base;
Lamp Only
Carriage-Style Post Top Lantern
E39-Mogul or E26-, E27-
Medium base;
Lamp Only
Globe Post Top Lantern
E39-Mogul or E26-,
E27-Medium Base;
Lamp Only
Shoebox-Style Roadway/Lot Lighting & Ceiling Mount
Shoebox-Style Pole Mount
Parking Garage
E39-Mogul, E-26, E27-
Medium base;
Lamp Only
Ceiling/Wall Mount
If the streetlight/post light for which you need an LED replacement lamp is not here for selection, please describe in the "Additional Notes" message box below.
Existing lamp wattage (if replacing):
Line voltage:
Height from bottom of lamp to ground level:
Feet OR
Meters
Light dispersal pattern required:
Pole spacing (or an approximation):
(Pole-to-pole specifying distance in feet or meters)
Applicable statutory and regulatory requirements:
Any local, city, county, state, provincial, or federal regulations to be met? (If known)
Additional Notes/Sketches:
Enter your message below
(Maximum 1000 characters)
:
Site Map
Privacy Policy
Warranty
Contact Us
Link Exchange
LED News
23105 Kashiwa Ct, Torrance, CA 90505 - PH: (800) 579-4875/(310) 534-1505 - FAX: (310) 534-1424
All images and pictures and text on our website is Copyrighted property of LEDtronics.
No-one is authorized to use our pictures, images, catalogs or text without our explicit written approval.
Copyright © 1997-2010 LEDtronics, Inc., All Rights Reserved.