REQUEST FOR QUOTE FORM

INITIAL SPECIFICATIONS :

OPERATING VOLTAGE

CURRENT

AC
DC
TYPE OF APPLICATION
ILLUMINATION
Visible
NVIS
Covert
SPECIFIC COLOR REQUIREMENTS
(IF ANY)

SPECIFIC MIL-STD or MS REQUIREMENTS
(IF ANY)

CONTACT INFORMATION :
* YOUR NAME

TITLE

* COMPANY
* EMAIL ADDRESS
* DAYTIME PHONE NUMBER

ADDITIONAL COMMENTS


* required fields