Laser Safety Signs Order Form

Date(Required)

Name(Required)

First Last

Email(Required)

Building and Room #(Required)

Number of Caution Signs(Required)

Number of Danger Signs(Required)

Number of Notice Signs(Required)

Laser Type(Required)

Class of Laser(Required)

Manufacturer(Required)

Model(Required)

Serial Number(Required)

Emitted Wavelength (nm)(Required)

CW or Pulsed Duration(Required)

Pulse Repetition Rate (Hz)(Required)

Maximum Output (W or mW – State the unit used)(Required)

Beam Diameter (mm)(Required)

Beam Divergence (mrad)(Required)