Company/Organization
Name
*
First Name
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Email Address
*
example@example.com
Phone Number
Where did you hear about the SolarZone?
Please Select
Lumos Web Site
Online Search
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Word of Mouth
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Installation address
Street Address
Street Address Line 2
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Zip Code/ Postal
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Anguilla
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Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
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Netherlands
Netherlands Antilles
New Caledonia
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Nigeria
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Where will the SolarZone be installed?
Please Select
Concrete
Dirt
Order Form
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( X )
SolarZone Structure
$
Free
Quantity
0
1
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100
Color
White
Light Gray
Dark Gray
Black
Concrete Anchor Kit
$
300.00
Quantity
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1
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97
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99
100
Item subtotal:
$
0.00
Ballast Anchor Kit
$
2,150.00
Quantity
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91
92
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97
98
99
100
Item subtotal:
$
0.00
Web Based Data Monitoring
$
700.00
Quantity
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100
Item subtotal:
$
0.00
3M Graphics Wrap
$
2,500.00
Quantity
0
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97
98
99
100
Item subtotal:
$
0.00
Bench Deduct for ADA Accessibility
$
-200.00
Quantity
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100
Item subtotal:
$
0.00
Submit
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