Request for Information
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is a required field
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Name:
*
Address:
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City:
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State:
*
Zip:
*
Day Phone:
Evening Phone
Best Time to Call:
*
Email:
Who is your Electrical Provider:
*
Why are you interested in Solar?:
This system is for a:
Home
Business
Other
What is your average monthly electric bill?
$100-$200
$200-$400
$400-$600
$600-$800
$800-$1000
$1000-$2000
$2000+
(This can be found by averaging your last 12 utility bills or calling your electrical supplier.)
What is your annual KWh usage?
(This can be found on your statement)
How soon would you like your system installed?
As Soon As Possible
3 months
6 months
1 year
How did you hear of us?
Friend/Relative
Job Site Sign
Company Vehicle
Home Improvment Magazine
Yellow Pages
Home Show
Direct Mail
Internet
Website
Employee
Other
If Friend or Relative, who:
If Yellow Pages, which one?
Referral Other: