INFORMATION REQUEST FORM

If you would like additional information and a solar consultant to contact you, please fill out the following form.

You can fill it out online or print it out and mail it to us.

Of course you can always call us Toll Free: 800-488-1063

Company Name:
Name:
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Address:
City:
  
State:
Zip Code:
Country:
E-mail:
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Phone:
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Fax:
How did you find us?
 
Best Time to Contact You?

CLEAN POWER SOLAR ELECTRIC SYSTEMS

 

1. What is your average monthly electricity usage over the past 12 months? (If you do not have copies of your last 12  bills, you may call your utility provider which is required to provide you this information upon your request)

My average monthly usage is kWh

 

2.What type of roof do you have?

Tile
Concrete Composite Other

 

3. If the roof is not appropriate for installation, would you consider a ground mounted solar system?

Yes
No

 

4.What time frame are you looking to get a solar system?

Immediately
1-2 months   3-6 months 6-12 months

 

5.Are you interested in financing your Clean Power System?

Yes
 No

 

6. What is your average monthly bill?

Any further questions/comments?


Disclaimer
[The preceding information obtained in this survey is considered confidential and will not be sold to any company.]