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Company Name:  Phone:
Contact Name:  Fax:
Email:  Project Name:

Mailing Address:
Street City State ZIP
 
Drawing Information

Please upload photo from desktop

Drawing Information Date Comment
Date of This Submission
Date of Model Room Review
Date of Production Installation
 
 
Lamp Body Information
Overall Size:
 
Width Depth Height
Material: Finish: 
Base size: Material: Finish:
Back Plate Size: Material: Finish:
Cord Cover
Length: Material: Finish:
Socket Type: Material: Finish:
Switching Type: Location: Finish:
Bulb Type: Max Watt:
Size: Ballast:
Cord
Length: Color:    Plug:
Power Outlet:
Media Connection:
 
 
Lampshade/Diffuser Information
 
  Size:
       top     bottom     slant     Drop Vertical Ht
Type: Shape:
Material: Color:
Description:
Trim: Color: Piping:
Ring: Drop: Color:
Harp/Uno: Size: Color:
Final: Size: Color:
 
 
Notes:
 
Company Name:  Phone:
Contact Name:  Fax:
Email:  Project Name:

Mailing Address:
Street City State ZIP
 
 
Drawing Information
Drawing Information Date Comment
Date of This Submission
Date of Model Room Review
Date of Production Installation
 
 
Lamp Body Information
 
Overall Size:
 
Width Depth Height
Material: Finish: 
Base size: Material: Finish:
Back Plate Size: Material: Finish:
Cord Cover
Length: Material: Finish:
Socket Type: Material: Finish:
Switching Type: Location: Finish:
Bulb Type: Max Watt:
Size: Ballast:
Cord
Length: Color: Plug:
Power Outlet:
Media Connection:
 
 
Lampshade/Diffuser Information
 
    Size:
top bottom slant Drop Vertical Ht
Type: Shape:
Material: Color:
Description:
Trim: Color: Piping:
Ring: Drop: Color:
Harp/Uno: Size: Color:
Final: Size: Color:
 
 
Notes: