SCI Applications Request Form
Date
-
Month
-
Day
Year
Date
Exergent Number
*
Project Name
Priority
Please Select
Urgent
Normal
Requested By:
First Name
Last Name
Spec Coordinator/PM Email
example@example.com
Sales Person Email (Optional)
example@example.com
Revision?
Yes
Due Date
-
Month
-
Day
Year
Date
Specifier Information
Name
First Name
Last Name
Company
Email
example@example.com
SCI Sales Person
First Name
Last Name
Project Details
All Ceiling Heights Will Be 9'-0" AFF Unless Otherwise Noted
Interior or Exterior
Please Select
Interior
Exterior
Both
Criteria
All Rooms IESNA Criteria
All Rooms Same Ceiling Height
Both
Custom
Ceiling Height
Criteria Details All Rooms IESNA Criteria
*
Criteria Details Custom
*
Criteria Details All Rooms Same Ceiling Height
*
Reflectances
Please Select
80/50/20
Other
Custom Reflectances
*
Include EM Calculation?
Yes
No
EM Power Source
Integral Battery
Inverter
Notes:
Upload Fixture Schedule
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Requested Apps Team Member
Please Select
No Preference
Eddie Silvas
Eric Shaw
Matthew Felix
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