NJ Electrification Coaching Network (NJECN): Going Electric Intake Form
With your answers to the questions on this form, the NJ Electrification Coaching Network will be able to assign you an electrification coach.  Your electrification coach will guide you through selecting HVAC equipment and/or electric appliances for your home or apartment so that you can save money and become a contributor to our clean energy economy.

Your information will not be shared or distributed beyond the Electrification Coaching group.
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First Name
 *
Last Name
 *
Email *
Telephone
City *
County *
NJ *

Brief explanation of how / why you would like to electrify your home or apartment.  If you are looking for general information on how to get started on your electrification journey, that’s fine, too.

 *
Do you have an anticipated time frame to start on your electrification improvements?
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Do you have an estimated cost in mind for your planned electrification improvements?
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Are you familiar with Rewiring America and its Personal Electrification Planner? ( Plan your next electric upgrade today (rewiringamerica.org)  ) *
Thank you for providing your information!
A member of the NJ Electrification Coaching Network will be in touch with you shortly with next steps so that you can commence your electrification journey.
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