Lighting Form Lighting Questionnaire Today's Date Timeline for ProjectNow3-6 Months6-9 MonthsFutureBudget for Funding* Church Name Phone * Contact Name Cell Title/Position Fax Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Refurbish Existing Fixtures Yes No Modifications needed? Yes No New Fixtures Yes No Custom? Catalog? No. of pendants or chandeliers No. of wall sconces Height of fixture (body) Width of fixture Fixture 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 Wattage How many circuits per fixtures? Building details Ceiling height at peak Bottom of fixtures will be how many feet off floor? Ceiling height at walls Overall length & width of Sanctuary/Nave Finishing DetailsSuspend by chain or pole? Chain Pole How long must chain or pole be? List in feet Replacing existing glass or acylic? Yes No Quantity Need 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) Please take photos & e-mail to info@artechchurchinteriors.com or to a specific repIf large quantity of photos or video, please upload to Dropbox.com & e-mail us an invitation to view (free service)Please return completed form to (203) 403-2022 (fax) or e-mail to info@artechchurchinteriors.com
