Lamp Reorder Form
Name:
Company Name:
Address:
City:
State:
Zip:
Phone:
Email:
Arc Length (dimension EA):
in
Overall Length (dimension Lg):
in
Tube Diameter (dimension d):
in
Wire Length (dimension Ll):
in
Type of Power Supply:
Notes:
1310 Rayford, Bldg. F2, Spring, Texas 77386
Tel: ( 281) 419-6112 Fax: (281) 419-6136
info@uvconnection.com
,
sales@uvconnection.com