Startronics Solar Lighting

63065-D Sherman Road
Bend, OR 97701
Toll free phone 1-800-811-1985 or     541-317-1271             FAX: 541-317-0640

Please call or provide us with the following information and we will contact you.

 1. Please provide the following contact information:

                                                                       *Required

Name*


  Email*
Organization


  
Street Address


  
Mailing Address


  
City


  
State/Province


  
Zip/Postal Code


 Country
 Phone*

  Fax


2. What is your geographic location?



3. What do you wish to light?



4. What are the measurements of the object or area?
    *for sign lighting indicate one side or both


5. If its is an object what color is it?



6. How many hours of operation per night?



7. How many days of backup do you require? (2-5 is common)



8. Do you require motion detection?

Yes         No

9. Do you require automated or manual operation?

Automated         Manual         No

10. Do you require solar module support structures? (Frame that connects module to pole)

Yes       No

11. Will you need installation assistance?

Yes       No

12. What level is the surrounding or ambient light?

Low
Medium
High

13. Any additional Questions/Comments?






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