New Product Development Questionnaire

* Indicates required fields

Company Profile

*Company Name:
*Address:
*City:
*State:
Zip Code:
*Country:
Annual Sales:
Number of Employees:
Years in Operation:
Website:
*Phone:
*Fax:
How were you referred to us:

Contact information

*Contact Name:
*Title:
*Phone:
*Fax:
*Email:

Application profile

*Application / Project description:
What is the annual volume over the next three years?
*First year:
*Second year:
*Third year:
Prototype target price:
Development target price:
*Production target price:
When is proposal required?
When is production scheduled?

Product specification

*Power/Light output requirements:
*Color/wavelength (s):
*Temperature Range:
*Used:
*Required Operating life:
*Electrical Requirements:
*Voltage Minimum:
*Voltage Maximum:
*Current Minimum:
*Current Maximum:
*Physical Dimensions:

Other requirements: