Zero Chippenham Solar PV referral form
This is a referral form to request a quote from Zero Chippenham's recommended solar panel installer
How did you hear about this scheme?
Via Zero Chippenham website or comms (default)
Referred by Sustainable Calne
Referred by RWB Environmental Group
Referred by Sustainable Sherston
Other
Contact details
Name
*
First Name
Last Name
Email
*
Confirmation Email
Note that when you click submit below, you should receive an email from Jotform with a copy of your completed form
Phone number
*
Address (where you're interested in an installation)
*
Street Address
Street Address Line 2
Town
County
Postcode
Tell us what you are interested in
Tick as many options as you are interested in
*
Solar panels
Hot water heating (when panels are generating surplus electricity)
Battery system (note: high up-front cost)
Electric Vehicle charger
Other
Start of Solar not ticked section
You've said above that you're not interested in solar panels...
In the question above, you've un-ticked the "Solar panels" box. If this was a mistake, please tick the "Solar panels" box above before proceeding. If this was deliberate, please answer the question below.
Please explain below whether you already have solar panels installed, and if so give details
End of solar not ticked section
Start of section to collect details of roof
Tell us about the roof you'd like panels on
Note: the roof(s) you install panels on to should be as south-facing and unshaded as possible.
What sort of house is it?
e.g. terrace, semi detached, detached
Where is the roof that you want to install panels on to? (front, rear, side, etc)
Is the roof pitched or flat?
Pitched (i.e. sloped)
Flat
Other (please explain)
Which direction does the roof face (e.g. S, SE, SW)?
What is the roof made of?
natural slate
clay tiles
concrete slate
Other (please explain)
How high is the bottom of the roof?
1 storey
2 storeys
3 storeys
4 storeys
Other (please explain)
Can scaffold fit underneath where this roof is located? Are there any obstacles or access issues?
What is under the roof (e.g. loft)?
Where is your electricity meter and panel located?
Is there a cable route from the loft to the electricity meter?
Don't worry if you don't know this
End of section collecting details of roof
Start of hot water heating section
Hot water heating (surplus generated electricity)
Please tell us a few details about how you heat hot water currently and if you have a hot water tank
End of hot water section
Start of battery section
Battery system (storing surplus generated electricity)
Note that currently these systems have a high up-front cost
Please tell us a few details about your interest in a battery system
End of battery section
Start of EV charging section
Electric Vehicle charging
Please tell us a few details about your interest in Electric Vehicle charging
End of EV charging section
Is there anything else?
Is there anything else you want to tell the installer?
Your electricity usage
How much do you pay per unit for your electricity?
This is not necessary to quote, but will help understand any payback periods
How many units do you think you use a year? Or roughly what do you pay for electricity each year?
Again, this is not necessary to quote, but will help understand any payback periods
Please verify that you are human
*
Note that if you have technical difficulties completing the form above, please contact zerochippenham@gmail.com for help. Note also that clicking submit below will mean you should receive an email from Jotform with a copy of your completed form
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform