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:

    CeramicMetalOthers

    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.