Relative Photometry Test Request Form

Company Name:*

First Name:*

Last Name:*

Address:

City:

Province/State:

Country:

Postal/Zip Code:

Phone Number:*

Email:*

Luminaire Catalogue Number:*

Luminaire Description:*

Luminaire Rated Voltage (V):*

Luminaire Rated Wattage (W):

Type of Light Source:*

Tubular Fluorescent Lamp
Compact Fluorescent Lamp (CFL)
High Pressure Sodium (HPS)
Metal Halide (MH)
Incandescent
Induction
Other

Other Type of Light Source:

Number of Lamp(s):*

Lamp Rated Wattage (W):

Lamp Orientation:

Lamp Wall:

Clear
Coated

Driver/Ballast Information:

Largest Dimension of the Light-emitting Area (m):

Weight (kg):

Notes:

Luminaire Data Sheet

Acceptable file types: doc,docx,pdf,txt,gif,jpg,jpeg,png,dwg,dxf.
Maximum file size: 5mb.

Goniophotometer Test & IES File:*

Indoor Luminaire
Roadway/Area Luminaire
Floodlight Luminaire
Spotlight Luminaire

Distribution:*

Downlight Only (Direct Lighting)
Uplight Only (Indirect Lighting)
Uplight and Downlight
Unknown

Symmetry:*

Axial
Quadrilateral
Bilateral
None
Unknown

Illuminance Unit for Roadway/Area Luminaire Only:

Foot-candle
Lux

Mounting Height for Roadway/Area Luminaire Only (in feet for foot-candle, in meter for lux):

Please Provide a Drawing/Image File (ACAD, JPEG, ...) of the Luminaire

Other Photometric, Electrical and Thermal Tests (Additional Charges Apply):

Chromaticity Measurements by Angular Sampling
In-situ Temperature Measurement Test (ISTMT)
Life Test
Flicker Test
Luminaire on a Dimmer Test
Near-field Gonio-colorimeter Test (Ray File)
Spatial Non-uniformity of Chromaticity
2.5° Candlepower Table
Fluorescent Lamp Ballast Factor
Fluorescent Lamp Ballast Luminous Efficiency (BLE) (DOE energy conservation standards, 10 CFR 430, Subpart B, Appendix Q1)

Special Instruction:

Do You Need a Formal Quotation?

Yes
No

Purchase Order Number:

Date Required:

Return Luminaire Via:

Courier
Pick up

Courier Name:

Courier Account: