Solar Questionnaire

1
2
Do you own your home?* This field is required.
Yes
No
3
Where are you located?* This field is required.
4
How high is your monthly electric bill?* This field is required.
$0 - $50
$50 - $100
$100 - $150
$150 - $200
$200 - $250
$250+
5
What electric company do you currently use?* This field is required.
Arizona Public Service CO
Salt River Project
Tucson Electric Power Company
Unisource
Mohave Electric
ED3
ED2
Sulphur Springs
Other
6
Let's connect!
We take privacy seriously. No spam!

First Name *     Last Name *

Email *

Phone Number *

By checking the box below and clicking the "SUBMIT" button, I verify that the number above is my mobile number and give my express written permission to receive text messages via automated technology to this number regarding product and/or services offers by Omni Power. I also consent to receive telemarketing calls from Omni Power that may be auto-dialed and/or pre-recorded. I understand that consent is not required to make a purchase. Message and Data rates may apply.

I accept *
Should be Empty: