Do you own your home?
*
Yes
No
How much do you pay for your monthly electric bill?
*
Under $100
$100 - $200
$200 - $300
Over $300
What interests you most about solar solutions for your home?
*
I am interested in being green and helping the Earth and future generations.
I am interested in reducing my current energy bill ASAP.
I am interested in owning my energy not subject to increases electric energy authority rate.
I am interested in how much equity I could add to my home by adding Solar.
I am interested in possible federal, state or county financial incentives.
What type of roof does your house have?
*
Metal
Clay
Stone
Asphalt
Other
How old is your roof?
*
Less than 5 years old
5 - 10 years old
10 - 15 years old
More than 15 years old
What is your credit score?
*
Less then 500
500 - 600
600 - 700
More than 700
What is your job status?
*
Employeed
Unemployeed
Retired
First Name
*
Last Name
*
Phone
*
Email
*
Address
*
City
*
State
*
Postal code
*
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