Based LED Questionnaire

About your company

About your application

What does your company manufacture

Is your company

Total annual quantity

Target price

Time frame

Operating voltage (max)

Lens color

Lens type

Ambient lighting conditions

Maximum viewing distance desired

Maximum viewing angle desired

Distance between top of lamp and lens/filter

Is an external resistor in series with the lamp

What is the source voltage if higher than the operating voltage of the lamp

Additional Notes/Sketches

S O URCE V O LT A G E

LE D

LA M P

EXT R ES

Incandescent/LED No.

mAmps

Design Volts

MSCD

5V

12V

24V

28V

120VAC

Other

Voltage (type)

AC

DC

Bipolar

Red

Orange

Amber

Yellow

White

Green

Blue

Center

contact

+

–

Govt/Military

Govt Contractor

OEM

Distributor

Utility

MRO

Other

R&D

Clear

Diffused

Other

Base size

T1

T2

S6

T13 4

1

T3 4

Other

15mm

Base type

Lens size

Indirect sunlight

Direct sun

Office

Lowlight

Darkroom

1 ft

5 ft

10 ft

20 ft

50 ft

Other

Straight on

30¡

60¡

90¡

Other

Other

1/8"

1/4"

1/2"

Yes

No

If yes, Ohms

Polarity of center contact

Requirement is for

Replacement

New Application

Other

Flange

Wedge

Groove

Bi-pin

Bayonet

Screw

Watts

Would like updated literature

Yes

No More info on:

Based

PCB

Panel

Discrete

Other

Immediate

3 months

6 months

GAP

Date

Indoor

Outdoor

Applicable statutory and regulatory requirements

Yes

No

Doc. No.

?

ø

SIC code:

Originator:

Current Customer

Rep:

For internal use only

Yes

No

About you

Name:

Phone: (

)

Address:

M/S:

City:

State:

Zip:

Company:

Fax:

(

)

E-Mail:

16mm

22mm

30mm

Other

Lens shape

Circular

Square

Rectangular

Other

Jelly-jar

The following information assists

LEDtronics in determining the

most appropriate FREE LED

product SAMPLE. Fax to

(310) 534-1424 for fast response.

LEDTRONICS, INC.

THE FUTURE OF LIGHT

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