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UV Lamp Ballast Quote Request

Company Name
First Name
Last Name
Address 1
Address 2
City
State Zip
Country
E-Mail Address
Telephone
Fax Number

Ballast Specs

Input Volts
Lamp Strike Voltage
Lamp Operating Voltage
Lamp Current
Number of power levels needed
Lamp Type
Frequency

Delivery Timetable

Quantity required for Prototype Prototype Timing
Quantity required for Production Production Timing

 
   

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