Send a Sample Contract Information Name Company Name Address E-Mail Phone Fax City State Zip Country AI Representative Sample Information Briefly describe the sample. What is the object of the inspection? Describe the spatial requirements and/or limitations of the inspection area. Speed at which the object is moving if it is in motion ? Will the light be strobed or will it be used in a DC state Strobed DC State If to be used in a DC state will user supply regulated voltage, 12 or 24 ? 12 24 Will you need the option to adjust light intensity Yes No What typeof camera or vision system are you using? Is this system color or black & white ? Color Black & White If known, what size and make lens will be used? Working Distance ( Camera to Object ) Field of View to be covered How many systems will need lighting? Are there any other factors that need to be considerd ? Would you be willing to let us write about your inspection for our web site or for a trade publication ? Yes No Image 1 Files must be less than 2 MB.Allowed file types: gif jpg jpeg png. Image 2 Files must be less than 2 MB.Allowed file types: gif jpg jpeg png. If you are sending us a sample via mail, please print 2 copies of this completed document; keep one; include the other with sample. Send to: Advanced illumination, ATTN: Apps Lab, 440 State Garage Rd, Rochester, VT 05767 CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.