First Name
*
Last Name
*
Address
*
City
*
State
*
Zip Code
*
Mobile Phone Number
*
Email
*
Do you own your home?
*
Yes, I own my home
No, I rent my home
What is your average monthly Electric Bill?
*
$0 - $100
$101 - $150
$150 - $200
$201 - $300
$301 - $400
$401 - $500
$500+
Type of Property
*
Single Family
Multi-Family
Commercial
If you were to move forward, when would you ideally like the install completed?
*
30 days
6 months
Not Sure
Would you be financing this investment or paying cash?
*
Financing
Cash
Are you a veteran?
*
Yes
No
If available please upload your latest electricity bill
Latest Electricity Bill
Additional Information
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