SPECIFICATION REGISTRATION FORM

SPECIFICATION REGISTRATION FORM
In Territory Out of Territory
Date:

Month Day Year
Expected Bid:
Agency Name:
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Sales:
Project:
Project Location:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Architect:
Engineer:
Designer:
***Light Fixture Schedule Must Be Attached***
Notes:
Product:

Lumenrail System Components
Description of Project:
Received By:
Project Spec #:
Date:

Month Day Year
Wagner Architectural Systems | 10600 W Brown Deer Rd | Milwaukee, WI 53224Wagner Architectural reserves the right to discontinue products or change the technical specifications of its products at any time without notice. Select products in this catalog have patent protection or patents pending.© Copyright 2016. Wagner Companies. All Rights Reserved.
Should be Empty: