Energy-Tech Solutions Enquiry Form

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1	Timestamp	Does your operation / residence have its own incoming electricity meter?	What is the approximate Rand value of your average monthly electrical Bill?	What solutions are looking for?	What is the kWh units of your average monthly electrical Bill?	Of your cost base what approximately is the % split between your electricity and other energy costs?	What is the approximate area m2 of your operation?	What energy sources are used throughout your organisation?	How many patrons can your operation seat?	What is the primary offering of your business?	How is your operation cooled?	What are your operating times?	What are the average number of working days in a normal work week ?	Contact name	Have any energy efficiency solutions been implemented in past 2 years? If so please explain briefly.	Name of Organisation	Is your enquiry regarding retro-fitting or greenfield placements	To your knowledge, what are the 3 main energy consuming areas in your operation	Do you know what electricity billing tarrif your business is on?	What factors normally make up your electricity billing?	Please list any other info which may be useful to in assessing your organisations energy use.	Does your operation make use of any energy sub-metering?	Address	Contact Phone number	Contact email address	What is the primary nature of your business?	What is the level of urgency with regards to your enquiry?	Please list any other info which may be useful to in assessing your organisations energy use.	After implementing energy saving solutions would you be interested in considering certifying as a Green Business or Green Residence.

2	5/21/2013 13:11:29	Yes and it is located within my operation / residence	0	Energy Efficient Lighting, Energy Metering equipment, AMR Solutions (automatic meter reading), Heat Pumps, Solar Geysers, Rain & Grey Water Harvesting, Waste to Gas Biodigesters, Equipment optimisation (VSD's, Soft starts, PF Correction), Energy Saving Devices, Aircon Energy Saving devices, Timers										Andre		Residence	New build					Yes we have several sub meters	Gauteng, Die Wilgers	795077130	andre@accbs.co.za	Restaurant	Planning ahead and need advice from an energy consultant		Yes definitely interested!
3	6/20/2013 17:15:12	Yes and it is located within my operation / residence	3500	Energy Efficient Lighting, Heat Pumps, Solar Geysers, Rain & Grey Water Harvesting, Aircon Energy Saving devices										ANDREW		residence	Retro-fit					No we do not sub meter	GAUTENG KRUGERSDORP	823915454	danto@absamail.co.za	household	Planning ahead and need advice from an energy consultant		Yes definitely interested!
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