lighting form Updated Lighting Questionnaire Today's DateTimeline for ProjectNow3-6 Months6-9 MonthsFutureBudget for FundingChurch Name*Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Church Phone*Website Contact Name* First Last Contact Phone*Email* Title/Position Fax Refurbish Existing Fixtures Yes No Modifications needed? Yes No New Fixtures Yes No Custom?Catalog?Number of Pendants or ChandeliersNumber of Wall SconcesHeight of fixture (body)Width of fixtureFixture wiring & bulb layout No. of bulbs in center Are uplights needed? Yes No Down Light Yes No Are the fixtures dimmable? Yes No Existing Bulb Total WattageHow many circuits per fixtures?Building DetailsCeiling height at peakBottom of fixtures will be how many feet off floor?Ceiling height at wallsOverall length & width of Sanctuary/NaveFinishing DetailsSuspend by chain or pole? Chain Pole How long must chain or pole be? List in feetReplacing existing glass or acylic? Yes No QuantityNeed new louvers? Yes No Are louvers thicker than 3/4"? If over 1" thick, we recommend new, low-profileRefinish metal or clean only Clean Refinish Give Option If yes, specify color Same as existing Satin Gold (darker yellow) Satin Brass (medium yellow) Antique Bronze Statuary Bronze Wrought Iron (black & silver) Swedish Iron (gold & silver) Additional Information we should knowUpload Images Drop files here or Please take photos & upload them here, or e-mail to info@artechchurchinteriors.com or to a specific rep. If large quantity of photos or video, please upload to Dropbox.com & e-mail us an invitation to view (free service)
