INTAKE FORM

STEP 1: TO HELP ME UNDERSTAND YOUR SITUATION BETTER...

FIRST NAME*

LAST NAME*

STREET ADDRESS*

UNIT

CITY*

STATE*

ZIPCODE*

PHONE*

EMAIL*

WHAT IS YOUR LEVEL INTEREST IN TRANSITIONING TO SOLAR POWER?

AVERAGE MONTHLY ELECTRIC BILL

PROPERTY TYPE

ROOF TYPE

HOW OLD IS YOUR ROOF?

DOES YOUR ROOF HAVE SHADING FROM TREES?

DO YOU DRIVE AN ELECTRIC VEHICLE?

IF YOU HAVE FUTURE PLANS TO INCREASE YOUR ELECTRICITY CONSUMPTION, PLEASE INDICATE BELOW (AC, APPLIANCES, POOL, ETC.)

PLEASE UPLOAD YOUR MOST RECENT UTILITY BILL

SMS AND EMAIL CONSENT*

Yes, I consent to receiving SMS or emails from Barnaby Dorilas.