Charron Inc. | Design Assistance Request Form

Design Assistance Request Form

The following information is required so that our Applications Department can provide prompt and accurate design assistance. You may also download and print the form and FAX it to (603) 624-9764. Thank you. To download a sample Design Assistance Report click here

Project

Project name:

Your name:

Company Name:

Company Type:: Architect Engineer Lighting Designer Interior Designer Other

Phone:

Fax:

Your Email Address:

Your Charron Salesperson:

Space

Use/Function:

Wide X:

Long X:

High:

: NOTE: Non-rectangular spaces or those with irregular ceiling require dimensioned plan and section drawings.

Reflectance Ceiling:

Reflectance Wall %:

Reflectance Floor %:

: NOTE: Skylights, trusses, beams, exposed ducts or other ceiling obstructions, large wall openings or windows and balconies or mezzanines should be clearly defined on the plans, sections, and/or elevations. Include type of glass, finish on trusses, etc.

Lighting

Preferred Source:: Tungsten Halogen Fluorescent Metal Halide HPS LED

Preferred Luminaire Manufacterer:

Luminaire Mounting Height (above finished floor):

Recessed in Ceiling:

Target Illumination Level:

Footcandles at:: inches (above finished floor) Footcandles Average Maintained

Calculation Method:: Point by Point Computer Printout (work plane & surface olluminance)
Hand Estimate (work plane illuminance only)

Design Goals Special Instructions:

: Additional information (drawings, photos, etc.) should be emailed to: ksweeney@charroninc.com and sales@charroninc.com