Ultraviolet Lamp Questionnaire

Please complete the questionnaire with all available information about your ultraviolet lamp and forward the form straight to us, so that we can send you a correct quotation about the lamp you need.

Customer:

E-Mail:

Contact

Address:

Zip Code:

City:

Telephone:

Telefax:

Dryer manufacturer:

A.Total length:

B. Lamp length:

C. Arc length:

D. Tube diameter:

E. Lead length:

E1:

E2:

Reference number of the dryer constructor:

Material of the fittings:

 Ceramic Metal Others

Dimensions

F:

G:

H:diameter):

I: (diameter):

J:

Electrical data

Lamp Voltage:

Lamp Amperage:

Lamp Wattage:

If you have a very complex lamp, please send a sample or detailed picture or figure of the lamp as fax (+49 5241 702761) to LampTech.