Naveritas Lighting and Installation
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Company Name
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Address
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Do you have a lift that we may utilize for this project?
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Yes
No
Possibly
Description of Lift (Ex: 26' scissors lift, or 36' boom lift)
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When do you want us to install your lights?
In order for us to schedule your installation, it is important for us to have a time-frame established for when you would like us to conduct our installation.
Monday - Friday
Earliest Start Time
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Latest End Time
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Weekends
Earliest Start Time
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Latest End Time
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Other Time Considerations
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Are you able to provide a blueprint layout of the facility prior to comencement of the project?
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Yes
No
If so, please either upload a copy below, or provide a point of contact and we will work with you to receive a copy of the blue print prior to commencement of the project.
Upload Blueprint
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Max file size: 20MB
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Primary Point of Contact
Name
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Office Phone Number
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Email
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Please Indicate Your Availability (Ex: M-F, 8:30 AM - 5:00 PM)
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Facility Coordinator
Who can provide basic facility information such as where breakers are located and other logistical information? We will need to lock out circuit breakers while retrofiting or replacing lighting.
Facility Coordinator
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Last
Phone Number
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Logistical Support
Who coordinates any logistical considerations such as movement of freight, material, products, or any other obstructions that would impede our equipment or installation of your lighting system? Keep in mind that we must have a path under the fixtures to retrofit, so we will need objects moved to install the new system.
Name
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Last
Title
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Phone Number
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Comments (Please use this box if there are any other points of contact that we should have on file.
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