ULE2200 Customization Request Form

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ULE2200 Customization Request

Project Information
Briefly describe the product you’re designing
Describe the environment where your product will be used. Will it be dry/wet, hot/cold, enclosed/open, etc?
What is the primary function of the proposed LED component?
Do you know your Luminous Flux target?
Do you have a target wavelength or Correlated Color Temperature (CCT) to meet?
Do you have a minimum Color Rendering Index (CRI) requirement?
Do you have a target efficacy (lumens per watt)?
Where will the system be getting its power?
What are the form factor requirements?
What is your target cost for your light source?
Are engineering drawings or prototypes of this project available for reference?	Yes No
Target Prototype Date
Target Production Date
Potential Volume(s) (EAU)

Company Information
Name:
Title:
Company:
Address:
Address2:
City:
State/Province:
Zip Code:
Country:
Email:
Phone:	Ext.:
Fax:
Has your company used LED technology in the past?	Yes No


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