Specialty Fluorescent Lamps

New Product Qualification Form

(Print out form and fill out completely. Fax to the
Engineering Department at 203-575-3456)

Name: 

 
Co.:   

Street: 

 

City: 

 
State:    
Zip:   
 

Tel: 

 
Fax:  
e-mail:  
Type of Business:
 
 
 
 
 
 
 

 

Forecast

Production Forecast:

Prototypes (Qty:)

 

First Year

 

Delivery Needed

 

Second Year

 
Sales Information
OEM, Distributor or End User?
 
 
 
 
 
 
Type of Equipment Lamps will be installed into:
 
 
 
 
 
 

 

Light Source Information:
Edge Light:   Black Light:  
LCD Mfr.:   
Display Size:     Display Brightness:   
LCD Trans:     Diffuser Trans:  
Lamp Diameter:     Lamp Drawing No.:   
Lamp Power:     Lamp Surf. Brightness:  
Lamp Color Coordinates Data:
X:   u9:  
Y:   V9:  
TK:  
r:  

 

Luminance Uniformity:   
Chromaticity Uniformity:  
If HC, Filament Current:  
If CC, Arc current:     
Arc Current:     
Arc Voltage:   
Fil. Heating Voltage:  
Fil Heating Current:   
Environ. Temp. Range:  
from   to   
Power Supply Type:    
Dimming Requirements:  
Vibration Requirements:  
Thermal Shock requirements:  
Type of spec:
Military/Civil/
Commercial, Etc.: 		 
 

 

Aperture Reflector Size:

Aperture Window 2.jpg (21135 bytes)

 

 

 

 

Aperture Window.jpg (22269 bytes)

 

A = Base Face to Base Face Length:  

B = Arc Length:

 

C = Length Allowance for Sputter and Aging:

 
D = Glass Tube Outside Diameter:  
Pin Alignment-
Perpendicular to Reflector or Parallel: