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CONTACT INFORMATION

* Required Information
*First Name:
*Last Name:
Title:  
*Company Name:
*Street Address #1:
Street Address #2:

*City: *State: *Postal Code:

*Country

*Telephone Number: Fax Number:
*E-mail Address:
APPLICATION INFORMATION
*Application:
General Interest ?: YES NO
DISPLAY INFORMATION

*Viewing Area Length:

*Width:

* Thickness

LCD DISPLAY TYPE:
Transmissive Transflective Other (specify):
% of light transmission through LCD, if known:
Expected Brightness at the Backlight: Foot Lamberts Nits
Power Budget: Voltage V   Current: mA   Cost Target:
*Light Source Required ?: YES NO     If Yes, Type:

If LED, please specify LED Color

Yellow-Green White Blue Green Red Amber Other

If Other, please explain:

LED Peak Wavelength: mm
Mounting Fixtures: YES NO
Material Requirements: Polycarbonate Acrylic Other, (please specify):
PRODUCTION INFORMATION
*Annual Volume:
*Estimated Production Start Date:
*Do you have a product specification for your part? YES NO

Global Lighting Technologies, Inc.

Global Lighting Technologies, Inc., USA Office, 55 Andrews Circle, Brecksville, OH 44141
Tel: 440-922-GLTI (4584) Toll Free: 866-922-GLTI (4584) Fax: 440-922-4585
Global Lighting Technologies, Inc., Taiwan Office, No. 1149, Sec. 3, Min-Chuan Rd., Chung-Li, Taiwan
Tel: 886-3-426-2828 Fax: 886-3-425-1919
E-mail: info@glthome.com (general information) sales@glthome.com (sales information)

MicroLens™ is a registered trademark of Global Lighting Technologies, Inc.