Page 1 of 2 | Custom Electric and Manual Screen Request Form
REQUEST FORM
Custom Electric and Manual Screens
VIEWING AREA SIZE
Inches
MM
Height Width
ELECTRIC SCREEN VOLTAGE (IF APPLICABLE)
120 Volt (60 Hz) 220 Volt (50 Hz)
SELECT A SCREEN MODEL
TENSIONED ELECTRIC SCREENS
Tensioned Advantage (with Closure Door)
Tensioned Advantage®
Tensioned Professional
Tensioned Contour®
Tensioned Cosmopolitan®
Tensioned Cosmopolitan
(over 12’ W)
Tensioned Advantage
(over 14’ W)
Tensioned Advantage
(over 14’ W with Closure Door)
NON-TENSIONED ELECTRIC SCREENS
Advantage (with Closure Door)
Advantage®
Advantage® (over 14’ W)
Advantage® (over 14’ W with Closure Door)
Professional
Contour®
Cosmopolitan®
Cosmopolitan (Over 12’ W)
Designer Contour®
Ascender®
MANUAL SCREENS
Advantage® Manual with CSR
Model C with CSR
Model C
Designer Contour® Manual with CSR
Model B with CSR
Model B
*Required Field
Quotation Request Design Feasibility Request Only
*Required Field
Contact Person*
Phone Number
Company Name*
Project Name*
Email Address*
Fax Number Dealer Account Number
Page 2 of 2 | Custom Electric and Manual Screen Request Form
SELECT A SCREEN SURFACE
FRONT PROJECTION FOR TENSIONED ELECTRIC SCREENS
Da-Mat®
HD Progressive 0.6
HD Progressive 0.9
HD Progressive 1.1
HD Progressive 1.3
HD Progressive 1.1 Perf
HD Progressive 1.1 Contrast
Parallax Stratos 1.0
REAR PROJECTION FOR
TENSIONED ELECTRIC
SCREENS
Da-Te x ®
HD Progressive ReView 0.9
FRONT PROJECTION FOR
NON-TENSIONED ELECTRIC
OR MANUAL SCREENS
Matte White
High Contrast Matte White
No
Is the total drop needed on the top or bottom of the screen?
Length of additional drop:
Is the total drop needed black or white?
Does the total drop need to be perforated for audio transparency?
IS ADDITIONAL DROP NEEDED?
IF YES:
Top Bottom
Black
Yes
White
Yes No
ADDITIONAL INFORMATION
Wall Mounted Hung from ceiling Ceiling Recessed
How will the screen be mounted?
SPECIALTY
Green Screen
Digital Print / Banner
Other (specify)
Quantity Required Required Installation Date
Describe the environment (i.e. conference center, home theater, educational center, house of
worship, live events) and note any outstanding or remarkable environmental constraints (such
as ceiling height, extreme ambient light) as well as any additional important information.
SUBMIT FORM
Thank you for giving us the opportunity to design your custom Da-Lite Screen. E–mail any
applicable drawings or construction documents to av.da-lite.design.center@legrand.com
Clicking the Submit Form
button will automatically
open a new email message
and attach the completed
form. If you prefer to save
the form and attach it
manually, please send to
av.da-lite.design.center@
legrand.com
