STARTUP REQUEST FORM

First Name

Last Name

Serial Number

Model

Quantity

Jobsite

Invoice #

Installed Address

City

State

Zip Code

Distributor

P.O. #

Electrical Contractor

Telephone #

Person to Contact

Telephone #

Contact Email Address

Manufacturers Rep

Telephone #

Owner Representative

Date Service is Requested #

The initial Start-up date will be determined by Evenlite, Inc. in consideration to the date requested, technician availability and geographical conditions. This date will be confirmed by Evenlite service department up to 48 hours before arriving at the job site.

TO ENSURE THE INSTALLATION IS COMPLETE AND READY FOR START-UP SERVICE PLEASE REVIEW AND CHECK THE FOLLOWING CONDITIONAL REQUIREMENTS:

1. Physical installation is complete, including the installation of batteries in their designated location according to the battery layout.

2. Electrical connections have been made (both input and output) to the system and all loads are hooked up and ready to have power applied.

3. OWNER REPRESENTATIVE NAMED ABOVE HAS BEEN NOTIFIED AND WILL BE PRESENT FOR INSTRUCTION AND TRAINING DURING STARTUP.

WE HEREBY ACKNOWLEDGE THE ABOVE REQUIREMENTS PRIOR TO START-UP AND ACCEPT AND HEREIN AUTHORIZE ANY ADDITIONAL EXPENSES (INCLUDING ADDITIONAL SITE VISITS) INCURRED SHOULD THE EQUIPMENT NOT BE FOUND READY FOR START-UP AT THE DETERMINATION OF THE EVENLITE FIELD TECHNICIAN.