* All Fields Required
Name:
Address:
City:
Zip:
Day Phone:
Evening Phone:
Best Time to Call:
E-mail:
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?
(This can be found by adding your last 12 utility bills or calling your electrical supplier.)
$100-$200
$200-$400
$400-$600
$600-$800
$800-$1000
$1000-$2000
$2000+
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 about us?
Friend/Relative:
Job Site Sign
Company Vehicle
Home Improvment Magazine
Yellow Pages
Home Show
Direct Mail
Internet
Other:
Solarecity Electric ·
info@solarecityelectric.com
Phone: 916-624-0535 · Fax: 916-404-7410
Copyright © 2008 Solarecity. All Rights Reserved