Sign up for a Free Residential Site Assessment in Rockland County - SOLARIZE NYACK
Please provide the following details in order to sign up for a free site assessment for your home from one of our installer partners.
First Name
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Last Name
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Street Address
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City
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Zip Code
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Email Address
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Phone Number
Please include your area code: (***) ***-****
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Mobile Number
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How did you hear about Solarize?
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What is your preferred contact method?
Start a Solar Assessment - Some Brief Questions!
What is your Electric Utility?
Electrical Monthly Bill
Average Bill
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Number of Meters
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Do you own or rent?
What is your roof's age?
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Do you heat your home with electricity?
What is your roof material?
Motivation/Goal
Which installer would you like to follow up with you for a free site assessment?
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Are you also interested in solar for your business?
Your selected residential installer will follow up with you shortly.
If you are also interested in solar for your local business, please fill out this form: http://goo.gl/forms/G9f2em5FzS
Please use the space below if you have any questions or notes to add.
You can also check out our website at SolarizeND.org or call our helpline at 1-866-205-2999
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