Nancy Litchfield lamp request

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Nancy Litchfield lamp request Powered By Docstoc
					To help us identify the correct lamp you require, please give us as much of the information below as possible.
If most of this information is unavailable, a few digital photographs would help us to identify your lamp.




              What is the lamp used for:
              Lamp Manufacturers Name:
              Lamp Ref./Part Number:
              Lamp Voltage:
              Lamp Wattage:
              Lamp Total Overall Length:
              (End Cap to End Cap excluding the lead wires)
              Lamp Amps:
              Lamp Total Length (tip to tip):
              Lamp Diameter at widest point:
              Lamp Type:
                     Fluorescent                                     Germicidal
                     Incandescent                                    Halogen
                     Deuterium                                       Other
              Lamp Shape:
                     Round                                           Tubular
                  Pear Shape                                         Other
              Lamp Shape:
                     Single Contact Bayonet                          Two Pin
                     Medium Screw                                    Candelabra
                     Other


               Additional Information:




                                   Your Contact Information
                 Your Name                                   Title
                 Company Name
                 Company Mailing Address
                 Phone No.                                   Fax No.
                 Email Address

				
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posted:5/4/2010
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Description: Nancy Litchfield lamp request