Based LED Questionnaire
Date
(
(
)
)
About you
Name:
Phone:
Fax:
Company:
Address:
The following information assists
LEDtronics in determining the
most appropriate FREE LED
product SAMPLE. Fax to
M/S:
Zip:
City:
State:
(310) 534-1424 for fast response.
E-Mail:
About your company
For internal use only
What does your company manufacture
SIC code:
Originator:
Rep:
Is your company
Requirement is for
Total annual quantity
Target price
Govt/Military Govt Contractor
OEM
Distributor
Utility
Other
MRO
R&D
Replacement
New Application
Yes
No
Current Customer
Time frame
Immediate
3 months
6 months
About your application
Incandescent/LED No.
mAmps
Design Volts
MSCD
1
4
T13
T3
S6
Screw
28V
Other
Other
15mm
Groove
4
T1
T2
Bayonet
Base size
Base type
Flange
Wedge
Bi-pin
24V
Operating voltage (max)
5V
DC
12V
120VAC
Other
+
Center
contact
–
Voltage (type)
Lens color
Lens type
AC
Red
Clear
Bipolar
Polarity of center contact
Orange
Diffused
Amber
Yellow
White
Green
22mm
Blue
Other
Lens size
16mm
30mm
Other
Lens shape
Circular
Square
Rectangular
Other
Indoor
Outdoor
Jelly-jar
Ambient lighting conditions
Indirect sunlight
Direct sun
Office
50 ft
90¡
Lowlight
Darkroom
ø
?
1 ft
5 ft
10 ft
30¡
20 ft
60¡
Other
Other
Other
Maximum viewing distance desired
Maximum viewing angle desired
GAP
Straight on
1/8"
Yes
1/4"
1/2"
Distance between top of lamp and lens/filter
Is an external resistor in series with the lamp
No
If yes, Ohms
Watts
EXT RES
LAMP
LED
What is the source voltage if higher than the operating voltage of the lamp
More info on: Based Panel PCB
SOURCE VOLTAGE
Discrete Other
Would like updated literature Yes No
Applicable statutory and regulatory requirements
Doc. No.
No
Yes
Additional Notes/Sketches
23105 Kashiwa Court, Torrance, CA 90505
Phone: (800) 579-4875 or (310) 534-1505
Fax: (310) 534-1424
E-mail: webmaster@ledtronics.com
Website: www.ledtronics.com
LEDTRONICS, INC.
THE FUTURE OF LIGHT