Engraving Form

2) Specify your configuration (choose only one):WH (White)IV (Ivory)BE (Beige)GR (Gray)BR (Brown)BL (Black)AL (Almond)LA (Light almond)

TP (Taupe)

HT (Hot)*MR (Merlot)*PL (Plum)*TQ (Turquoise)*SG (Sea glass)*BI (Biscuit)ES (Eggshell)SW (Snow)PD (Palladium)*MN (Midnight)*SI (Sienna)*TC (Terracotta)*GB (Greenbriar)*BG (Bluestone)*MS (Mocha stone)*GS (Goldstone)*DS (Desert stone)*ST (Stone)*LS (Limestone)*

CLA (Clear)BLA (Black)BRA (Brass)

BB (Bright brass)BC (Bright chrome)BN (Bright nickel)SB (Satin brass)SC (Satin chrome)SN (Satin nickel)QB (Antique brass)QZ (Antique bronze)

6) Specify your engraving in the fields below. Maximum 10 characters (10 pt. font), with spaces

A

5) Select your unit color (choose only one):Architectural Matte Satin Color Matte

(available in insert style only)

Architectural Metal with black plastic buttons

Anodized Aluminum with black plastic buttons

Some satin colors ship with different color buttons. For more information visit: www.lutron.com/grafikeyeqs

7200 Suter Road Coopersburg, PA 18036 Phone: 610.282.3800 www.lutron.com

Project Name:

Room: P.O. #:

Lutron Project #:

Lutron Order #:

Qty:

Page:

*

7) Text Options: Position of Text

Centered Left justified (default) First Letters

Capitalized (default)As writtenALL CAPS

Text Case

2B1B

B

C

E

D

G

F

3B

5B 7B 2BRL

3BRL 5BRL 2BRLIR

1RLD 3BD2RLD

3BRLIR 5BRLIR

1) Specify your type (choose only one):

Wallstation Faceplate KitButton Kit

8) Engraving certificate details (if applicable):

Cert. #:

Name/Company:Address:City/State/Zip:Phone:

Shipping Information:

Fax:

3) Non-Insert Style Insert Style

For Lutron use only

4) Light function Shade function Light + Shade

For details on how to submit your engraving form, please visit www.lutron.com/grafikeyeqs