Optical Testing Questionnaire

Please complete the fields which apply to your testing project.

Name *

Company

Email *

Phone

What is your preferred method of contact? Phone Email

What type of sample do you need tested?

How is this part used?

Quantity of parts to be tested

Type of test to be performed

Specification(s) to test against

Part Diameter/Size

Surface Radius of Curvature

Lens Focal Length

Does this part have an external housing? Yes No

Are there any special considerations for this part?