Full Name*
Email Address*
Phone Number*
Street Address 1
Street Address 2
City
Zip Code
Who is your electrical provider?* ---NYSEGNational GridRG&EOther
What type of solar are you interested in? ---Roof PanelsGround MountCommunity SolarWant Recommendation
Do you own your own home or property?* ---I own the propertyI rentI am looking for someone elseI am building a new home
How much shade does your property get? ---I have full sunI have a little shadingI have a lot of shadeUnsure
What is your monthly electric bill?* ---$0-$99$100-$150$151-$200$201-$300$301-$400$401-$500$501-$600$601-$700$701-$800$801-$900$901-$1000>$1000
What is your interest level? ---1 - Very Interested2345 - General Inquiry
Are you interested in Low to Moderate Income Grants? ---YesNo
Property Type ---ResidentialNot for ProfitCommercialMunicipalFarmWineryOpen LandOther
Customer Type ---IndividualBusinessCommercial
How did you hear about us? ---Solarize CampaignStore FrontAdvertisementFriendCIR CustomerWGRZ News StoryWIVB News StoryTradeshowBuffalo NewsBuffalo RisingBusiness FirstGoogle SearchNatale BuildersNYSERDA WebsiteOther
If referred, please name who referred you to us.
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