Order Request – Laser

Please fill out the Laser Order Request form. Once submitted, a Connexus representative will review the order details and then contact you.

Or, if you prefer, you can download the Laser Order Request Form PDF fill out the information and then email it to us.

Customer Information

Laser Specifications

To be used around water?
To be used outside?
Is there a lot of natural or LED lighting in the facility?

**Using the provided diagrams, please fill out the following details with as much information as possible**
Over Center
Positive Offset
Over End
Negative Offset

Form Consent(Required)

Note: After clicking the Submit button, please be patient while the form submits.