Electronic Ballast Order Form

Note: Once you have submitted the form with the list of products you want, our sales team will contact you to finalize your purchase.

Name

First Name

Last Name

Referral Code

Phone

(###)

###

####

Company Name

Website

http://

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Subject

Message

Electronic Ballast 18kW/12kW V3

Qty

Electronic Ballast 12kW/6kW V3

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Electronic Ballast 9kW/6kW V3 (1000Hz)

Qty

Electronic Ballast 9kW/6kW V3 (300Hz)

Qty

Electronic Ballast 6000W V3 (1000Hz)

Qty

Electronic Ballast 6000W V3 (300Hz)

Qty

Electronic Ballast 4kW/2.5kW V3 (1000Hz)

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Electronic Ballast 4kW/2.5kW V3 (300Hz)

Qty

Electronic Ballast 2500W V3 (1000Hz)

Qty

Electronic Ballast 2500W V3 (300Hz)

Qty

Electronic Ballast 1.8kW/1.2kW/575W V3 (1000Hz)

Qty

Electronic Ballast 1.8kW/1.2kW/575W V3 (300Hz)

Qty

Electronic Ballast 1.2kW/575W V3 (1000Hz)

Qty

Electronic Ballast 1.2kW/575W V3 (300Hz)

Qty

Electronic Ballast 800W/575W V3 (1000Hz)

Qty

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