Request More Information * = Required field First Name * Last Name * Email * Phone * Company * Title * Company Type * Facility/End User Prospective Partner Other (explain below) Comments Optional Information Facility Type -- Options -- Warehouse/Cold Storage Warehouse/Dry Manufacturing Office Building Parking Retail Other If "Other", please specify: Facility Size -- Options -- <200,000 sq. ft. 200,000-500,000 sq. ft. >500,000 sq. ft. Lighting Type Installed (primary) -- Options -- High Intensity Discharge (MH / HPS) High Intensity Fluorescent (T5 / T8) T12 Fluorescent Other If "Other", please specify: Your utility company: Your kWh rate? (e.g. enter 22 cents as 0.22) Shifts per day? Considering a lighting retrofit project: Yes No Have funds been allocated for this project? Yes No Project Timeframe: -- Options -- 0-3 months 3-6 months 6-12 months Unknown Do you have an Energy Service Partner? Yes No Energy Service Partner name: Optional Information Primary Service Area For multiple selection: PC: Ctrl click Mac: Command Click Northeast Mid-Atlantic South Midwest Southwest Pacific Northwest Hawaii Your typical customer For multiple selection: PC: Ctrl click Mac: Command Click Warehouse/Cold Storage Warehouse/Dry Manufacturing Office Building Parking Retail Other LED Experience -- Options -- None General Highbay Lamp only Industrial Lighting Control Experience -- Options -- None Some Extensive Do you provide other Energy Conservation Measures? (Please Explain) What type of company are you? For multiple selection: PC: Ctrl click Mac: Command Click Architect Electrical Contractor Electrical Distributor Energy Efficiency Contractor (EEC) Energy Service Provider (ESP) Energy Services Co. (ESCO) Engineering Company Equipment Manufacturer Lighting Maintenance Co. (LMC) Product Agent Other (explain below) If "Other", please specify: What % of your business is lighting? *Numbers only, please Are you a turnkey provider? Yes No
