Fujitsu General America, Inc.
353 Route 46 West
Fairfield, NJ 07004
Tel: (973) 575-0380

Halcyon Case Studies Form

Please complete each of the questions below. Thank you.

  1. Project Name or Customer Name:

Location:

Completion Date:

The Team:

HVAC Contractor:
HVAC Distributor:

  1. Please provide background information about the property. Include size of the property/business, year it was built, who it serves, etc. Example: “Inspired by the architecture of the South of France, the Hotel Paris Resort and Spa is a $400 million luxury resort located at the base of Big Sur, CA. It is fashioned on a 20 acre site of the former Hotel California and features a lodge, spa, 300 guest rooms in 12 buildings and 27 detached single family villas. ABC Realty and Development Corp., Big Sur, CA, opened the doors to this refurbished resort in Nov. 2012.”
  1. Design Challenge
    Please provide the heating and cooling installation issues the home or building was having and why the owner was looking for a change or new HVAC system. For example, were there any issues with fitting equipment to the existing space? Flexibility requirements?
  1. Why Fujitsu was Chosen
    Please describe why a Fujitsu system was chosen to meet the needs of the design challenge. How was the issue solved?
  1. The Results
    What benefits were achieved once the Fujitsu system was installed? For example, ease of installation? Energy Savings? Quiet/comfortable environment? Please provide specific examples and/or data to back up the results.
  1. Customer Testimonial
    Please provide a quote from the home or buildingowner or the Contractor.
  1. Equipment List
    Please list indoor and outdoor model numbers and quantities used for the job.
  1. Photos
    Please provide photos of the job. If you are including people in the photos, they must sign Fujitsu’s Photo Consent Form, included below.

Email completed form to .

Fujitsu General America, Inc.
353 Route 46 West
Fairfield, NJ 07004
Tel: (973) 575-0380

Photo and Video Release Form

Permission to Use Photograph or Video

Subject: ______

Location: ______

I grant to Fujitsu General America, Inc., its representatives and employees the right to take photographs and or video footage of me and my property in connection with the above-identified subject. I authorize Fujitsu General America, Inc., its assigns and transferees to copyright, use and publish the same in print and/or electronically.

I agree that Fujitsu General America, Inc. may use such photographs and or video footage of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.

I hereby waive any right that I may have to inspect or approve the finished product and the advertising copyor other matter that may be used in connection therewith or the use to which it may be applied.I do hereby release, acquit and forever discharge Fujitsu General America, Inc., its officers, employees, attorneys, representatives, insurers and assigns from any and all demands, cause of action and/or judgments of whatsoever nature of character, past or future, known or unknown, whether in contract or in tort, whether for personal injuries, property damage, payments, fees, expenses, accounts receivable, credit, refunds, or any other monies due or to become due, or damages of any kind or nature, and whether arising from common law or statute, arising out of, in any way, the use of my photograph or photographic image.

I have read and understand the above:

Signature ______

Printed name ______

Organization Name (if applicable) ______

Address ______

Date ______

Signature, parent or guardian ______
(if under age 18)

Fax form to (973) 836-0429 or email to