Customers Existing Lighting Count Sheet

 

Customer Name

 

Customer Contact

Title

Date

Customer Address

 

Customer Phone #

Customer Fax #

Performed By

Customer E-
Mail Address

 

Utility Company

Price Per Kilowatt

 

Location of Light

Lighting Type Description

Total Quantity of Fixtures

Total Quantity of Bulbs

Watts / Volts

Mounting Height

1ST Floor Hallway Example

2ft x 4Ft Fluorescent Example

20

Example

80

Example

32

Example

8ft Example

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I acknowledge that a representative from Sysnet America Incorporated has performed the above lighting count for the purpose of creating an energy audit proposal to review our potential energy and maintenance cost savings. There is no cost or obligation for this service

 

Signature:

 

Sysnet America Incorporated