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Customer Intake Form
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Email  *
First Name *
Last Name *
Phone Number *
Billing Address (include street address, city, state, and zip) *
Year/Make/Model/Color of your van or RV *
Service Interested in? Check all that apply *
Required
Describe the goals for your power system *
How did you find us? 
Date you would like to have done by?  *
Do you plan on using/installing? Check all that apply.  *
Required
What size is your shore power hookup on your RV?
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If you plan on having A/C, how do you want to run it? 
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How long would you want to be able to run your A/C?
How will you be using your van/RV? *
If you have a current power system, please provide as much information as possible. 
How many days would you like to go withoout driving or plugging in? (boondocking)
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What is your current progress on your build? 
Have you already purchased anything for your electrical system? If so, please list details.  *
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