| How did you hear about us? |
|
| |
| Address ( * required information) |
| First Name: |
*
|
Last Name: |
*
|
| Street: |
|
City: |
|
| State: |
*
|
Zip: |
*
|
| Daytime Phone: |
|
E-Mail: |
*
|
| |
| Why are you interested in solar? |
|
| |
| Will this installation be for? |
|
|
|
|
| |
| Please indicate your average monthly electric bill |
|
|
| |
| Electrical Utility |
| Utility Company:
|
| |
| Future solar system location |
| Do you have at least 300 square feet of space (roof, patio covering, etc.)?
Ideal locations are free of shading and facing towards the south. |
|
|
| If yes, please select one of the following which best describes this space: |
|
|
| Please select one of the following to describe the direction the available space is facing: |
|
|
| |
| Roof |
| Will you need a roof replacement within the next two years: |
|
|
| I estimate that my roof will last another
years before replacement |
| |
| I would like to have my own solar energy system up and running... |
|
|
|
|