Services Request Form

Jobsite General Information

Project Name

Street Address

City

State/Region

Project Description

Brief description of the project name, size, etc.

Associated Rep Agency

Casambi Project ID

See Casambi Submittal for Project #

Jobsite Contact Information

First name

Last name

Phone Number

Job Title

Company

EC/Installer Contact Information

Name

Phone Number

Email Address

End User/ Customer Information

Name

Phone Number

Email Address

Lighting Designer Contact (Name, Company, Phone, Email)

Next Steps:

1) A Casambi Representative will contact you for the upcoming steps and to schedule a pre-install consultation and a potential onsite startup date(s).

2) Please attach a completed Sequence of Operations document below. If no SOO document is included, a default Sequence of Operations, provided by Casambi, will be used to commission the system on site.

Whats a pre-install consultation?
pre-install consultation is to discuss installation questions and recommendations for the installer. Installer should be prepared with any questions for Casambi.

The requested dates below will be reviewed and confirmed, depending on current availability. Typical lead time for onsite commissioning is 3 weeks.

Start Up Request Date

Month/Day/Year

Document/Attachments

I agree by Checking this box you agree that the proposed Bill of Materials & Specified System on the Submittal provided by Casambi / Cazaar Professional Services is accurate and