| Please tell us
about yourself: |
| Name |
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| Business Name |
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| Email |
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| Street Address |
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State, Zip |
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| Contact phone |
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| Utility Company |
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| Are
you interested in information for a residence
or a business? |
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Are you interested in information
for a residence or a business?
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What type of system/service
are you interested in?
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What is motivating you to
bring solar energy to your home or business?
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When do you plan to purchase
a solar system?
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How much do you already know
about using solar energy?
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Are you familiar with the
federal, state and local incentives for solar?
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Where do you want to install
the panels?
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What is your average monthly
electric bill/electricity usage?
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| What is the best
time to contact you? |
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| How did you first
hear about GreenBrilliance? |
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| Anything
more you would like to add? |
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