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Contact Information:
Name:
Required
Address:
City, State, Zip:
Email Address
Required
Phone Number:
Required
Reason for Interest in Solar:
High utility bills
Home value
Green Energy
Other motivation:
Home/Site Information:
Number of people in the house: 1-2
2-4
4-5
6+
How long have you owned the home?
years
Approximate Age of Home
years
Approximate Size of Home:
Square Feet
Size of Lot/Parcel:
City Lot-Under 1/2 acre
1/2 to 1 acre
2-5 acres
5+ acres
Roofing type:
Tile
Metal
Shake
Composition Shingle
Trees:
Etc.:
Solar Interest: Please check all that apply.
PhotoVoltaic/Solar Energy
GeoThermal
Tankless Water Heater
Thermal/Roof Mount Solar Water Heater
Heating and Air Conditioning System
Roof/Attic Insulation
Rebates and Tax Incentive
Please give me a call
Utility Information:
Gas provider?
Electric provider?
Do you have past bills for 1 year?
Yes
No
If Not, do you have online access?*
Yes
No
*With Online Access to energy account, you can download the last 12 months of activity.
What was the highest bill in the
last 12 months? Aprox. OK
$
Heating and cooling system info
Do you have Central Heating and Air?
Yes
No
How many years old is your System?
1-7 years
8-15 years
16+ years
Interest in solar?
PV
Thermal
Have you spoken to any other contractors?
Yes
No
Questions or comments you'd like to ask us before we call you:
CONTACT US
530-365-9100
530-242-9100
530-528-9100
Name
Phone
Email
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