Your inquiry about Illumesh® Page 1 of 4 Please fill out this - ag4

Your inquiry about Illumesh ® Page 1 of 4
Please fill out this questionnaire, save it on your hard disk and sent it back to us.
You have also the opportunity to print it, fill it out and fax it to us.
We will process your inquiry and send you an offer.
ag4 media facade GmbH
Am Koelner Brett 8
D – 50825 Cologne
Tel: + 49 (0)221 – 912 732 - 0
Fax: + 49 (0)221 – 912 732 - 91
E-Mail: request@mediafacade.com
1. How large is the facade area which you wish to medialize?
Breadth in meters: . . . . . . . . . . . . . . . . .
Height in meters: . . . . . . . . . . . . . . . . .
= . . . . . . . . . . . . . . . . . square meters
2. At what time of day would you like to program Illumesh ® with content?
( ) daytime (not possible with Illumesh ® )
( ) day and night (not possible with Illumesh ® )
( ) only at night
3. Where would you like to install Illumesh ® ?
( ) indoors (not possible with Illumesh ® )
( ) outdoors
4. In what direction points the facade?
( ) North
( ) South
( ) West
( ) East

Your inquiry about Illumesh ® Page 2 of 4
5. As of which distance should the media design be recognizable?
( ) below 20 meters (not possible with Illumesh®)
( ) as of 30 meters
( ) as of 40 meters
( ) as of 70 meters
( ) as of 150 meters
( ) as of 300 meters
6. What quality of media design is sufficient for your purposes?
( ) only illumination (least expensive)
( ) text and graphic with a low resolution
( ) text and graphic with a high resolution (not possible with Illumesh ® )
( ) video, specially produced (also possible with low LED resolution,
cost-intensive, with Illumesh ® only possible for very large areas)
( ) TV video (requires the highest LED resolution, therefore very
cost-intensive) (not possible with Illumesh ® )
7. For what purpose is the medialization intended?
( ) advertising
( ) upgrading of the architecture
( ) company and brand communication of the building users
( ) urban development stimulation
( ) art on the building
( ) others
8. What form does the facade construction take (steel construction, fully glazed etc.)?
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Your inquiry about Illumesh ® Page 3 of 4
9. How will the facade or media facade be cleaned and serviced?
( ) from a suspended basket on the outside with option of window cleaning
(not possible with Illumesh ® )
( ) elevated work platform
( ) catwalk
( ) no cleaning
( ) as follows: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10. How important is the transparent effect of the media facade for you?
( ) very important
( ) important
( ) unimportant
11. How large is the budget (price per square meter) that can be assumed
for the media facade?
( ) 1.000 – 2.000 Euro / sqm
( ) 2.000 – 4.000 Euro / sqm
( ) 4.000 – 6.000 Euro / sqm
( ) 6.000 – 8.000 Euro / sqm
( ) 8.000 – 15.000 Euro / sqm
12. In which form you would like to receive the offer?
( ) Written
( ) Written including a 3D visualization of the facade with programming
preview (this is an offer with a basic charge of 7.500,- euro)
Additional available information for a more specific offer
If possible, please send pictures/photos of the facade or the planned installation location
to the e-mail address: request@mediafacade.com. If possible, please add Google Map
pictures (http://maps.google.com) indicating the building and its surrounding. This will
make it possible for us to provide you with a more specific offer.
Please give us your contact information on the next page.

Your contact information:
Your inquiry about Illumesh ® Page 4 of 4
Company: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Contact person:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Street: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Postal code/place: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Country: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
E-Mail: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tel.: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fax: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .