Referral Information

1. Name
2. Company Name
3. Primary Phone
4. Email Address  
5. Address 1
6. Address2
7. City
8. State

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   • SELECT
   • ALABAMA
   • ALASKA
   • ARIZONA
   • ARKANSAS
   • CALIFORNIA
   • COLORADO
   • CONNECTICUT
   • DELAWARE
   • DISTRICT OF COLUMBIA
   • FLORIDA
   • GEORGIA
   • HAWAII
   • IDAHO
   • ILLINOIS
   • INDIANA
   • IOWA
   • KANSAS
   • KENTUCKY
   • LOUISIANA
   • MAINE
   • MARYLAND
   • MASSACHUSETTS
   • MICHIGAN
   • MINNESOTA
   • MISSISSIPPI
   • MISSOURI
   • MONTANA
   • NEBRASKA
   • NEVADA
   • NEW HAMPSHIRE
   • NEW JERSEY
   • NEW MEXICO
   • NEW YORK
   • NORTH CAROLINA
   • NORTH DAKOTA
   • OHIO
   • OKLAHOMA
   • OREGON
   • PENNSYLVANIA
   • RHODE ISLAND
   • SOUTH CAROLINA
   • SOUTH DAKOTA
   • TENNESSEE
   • TEXAS
   • UTAH
   • VERMONT
   • VIRGIN ISLANDS
   • VIRGINIA
   • WASHINGTON
   • WEST VIRGINIA
   • WISCONSIN
   • WYOMING
9. Zip  
10. Contact Preference

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    • SELECT
    • No Preference
    • Morning
    • Noon
    • Afternoon
    • Evening
11. Comments/Details we may need to know about

Interview Questions

1. Does your project involve new construction?

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   • Yes
   • No
   • Not Sure
2. Are you planning a system tied to the electrical grid?

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   • Yes
   • No
   • Not Sure
3. Do you have a southern facing roof exposure or ground area for solar panels?

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   • Yes
   • No
   • Not Sure
4. How would you describe the condition of your roof?

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   • Excellent
   • Good
   • Poor
   • Not Sure
5. What is the approximate square footage on your roof available for panel installation with unobstructed exposure?
6. What is the name of your utility company?
7. What is your monthly average electrical cost for the last 12 months?
8. How did you hear about our company?

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