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 Name:
Your Name:
Company:
Architect Engineer Lighting Designer Interior Designer Other
Telephone: Fax: E-Mail:
Your Charron Salesperson:

Use/Function:
Rectangular Dimensions Wide X Long X High
NOTE: Non-rectangular spaces or those with irregular ceiling require dimensioned plan and section drawings.
Reflectance Ceiling: % Wall: % 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.

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