Change Order!
IMPORTANT!!!
The customer's name on the Good Energy Group Installation Agreement (Sent using EverBright), the Loan Documents, the Site Survey Form (this form), and the Utility Bill MUST MATCH! Use the customer's ID to verify their legal name. If the customer's name on their utility bill does not match, please have or help the customer add their full legal name to their utility account so PTO is not delayed. THE CUSTOMER'S NAME ON THE INSTALL AGREEMENT, LOAN DOCUMENTS, AND JOTFORM MUST MATCH EXACTLY.
Why are you submitting a change order?
*
Did you sign a new Installation Agreement?
*
Yes
No
Did you sign new Funding Documents?
*
Yes
No
Homeowner Information
Customer ID
*
ex: 5409983618213832584
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please DOUBLE CHECK you have entered a valid and correct phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Job / Loan Details
Funding Partner
*
Please Select
Cash
Concert Finance
Sungage Financial
Mosaic
goodleap
Loan Term (Years)
*
Please Select
5
10
12
15
20
24
25
Cash Dealer Fee
*
Please Select
0.00%
Concert Finance Loan Type
*
Please Select
Level Pay
Flex Loan
Sungage Financial Loan Type
*
Please Select
Level Pay
Mosaic Loan Type
*
Please Select
12 Month Promo
18 Month Promo
Goodleap Loan Type
*
Please Select
Level Pay
Flex Pay
Fast Pay
NONO
Concert Finance "Level Pay" Program
*
Please Select
5 Year 3.59% 25.00%
5 Year 3.99% 24.26%
5 Year 4.59% 22.87%
5 Year 4.99% 22.10%
5 Year 5.59% 21.00%
5 Year 5.99% 20.30%
5 Year 6.59% 19.20%
5 Year 6.99% 18.50%
5 Year 7.59% 16.90%
5 Year 7.99% 14.50%
5 Year 8.59% 12.00%
5 Year 8.99% 9.50%
5 Year 9.59% 7.00%
5 Year 9.99% 5.00%
5 Year 10.59% 0.00%
7 Year 3.59% 27.95%
7 Year 3.99% 27.10%
7 Year 4.59% 25.20%
7 Year 4.99% 24.30%
7 Year 5.59% 22.90%
7 Year 5.99% 22.00%
7 Year 6.59% 20.60%
7 Year 6.99% 19.70%
7 Year 7.59% 17.70%
7 Year 7.99% 15.50%
7 Year 8.59% 13.00%
7 Year 8.99% 10.50%
7 Year 9.59% 8.00%
7 Year 9.99% 5.50%
7 Year 10.59% 0.00%
10 Year 3.59% 31.00%
10 Year 3.99% 29.90%
10 Year 4.59% 27.60%
10 Year 4.99% 26.50%
10 Year 5.59% 24.80%
10 Year 5.99% 23.60%
10 Year 6.59% 21.80%
10 Year 6.99% 20.60%
10 Year 7.59% 18.10%
10 Year 7.99% 16.00%
10 Year 8.59% 13.50%
10 Year 8.99% 11.00%
10 Year 9.59% 9.50%
10 Year 9.99% 6.00%
10 Year 10.59% 0.00%
12 Year 3.59% 33.10%
12 Year 3.99% 31.90%
12 Year 4.59% 29.40%
12 Year 4.99% 28.20%
12 Year 5.59% 26.30%
12 Year 5.99% 25.00%
12 Year 6.59% 23.00%
12 Year 6.99% 21.70%
12 Year 7.59% 18.90%
12 Year 7.99% 16.50%
12 Year 8.59% 14.00%
12 Year 8.99% 11.50%
12 Year 9.59% 9.00%
12 Year 9.99% 6.50%
12 Year 10.59% 0.00%
15 Year 3.59% 35.10%
15 Year 3.99% 33.80%
15 Year 4.59% 31.00%
15 Year 4.99% 29.60%
15 Year 5.59% 27.50%
15 Year 5.99% 26.10%
15 Year 6.59% 23.90%
15 Year 6.99% 22.40%
15 Year 7.59% 19.30%
15 Year 7.99% 17.00%
15 Year 8.59% 14.50%
15 Year 8.99% 12.00%
15 Year 9.59% 9.50%
15 Year 9.99% 7.00%
15 Year 10.59% 0.00%
20 Year 3.59% 37.60%
20 Year 3.99% 36.10%
20 Year 4.59% 33.10%
20 Year 4.99% 31.60%
20 Year 5.59% 29.20%
20 Year 5.99% 28.85%
20 Year 6.59% 25.10%
20 Year 6.99% 23.50%
20 Year 7.59% 20.00%
20 Year 7.99% 17.50%
20 Year 8.59% 15.00%
20 Year 8.99% 15.50%
20 Year 9.59% 10.00%
20 Year 9.99% 7.50%
20 Year 10.59% 0.00%
25 Year 3.59% 39.10%
25 Year 3.99% 37.50%
25 Year 4.59% 34.30%
25 Year 4.99% 32.60%
25 Year 5.59% 30.00%
25 Year 5.99% 29.80%
25 Year 6.59% 25.70%
25 Year 6.99% 23.90%
25 Year 7.59% 20.20%
25 Year 7.99% 18.00%
25 Year 8.59% 15.50%
25 Year 8.99% 13.00%
25 Year 9.59% 10.50%
25 Year 9.99% 8.00%
25 Year 10.59% 0.00%
Concert Finance "Flex Loan" Program
*
Please Select
10 Year 3.59% 26.75%
10 Year 3.99% 25.80%
10 Year 4.59% 23.70%
10 Year 4.99% 22.70%
10 Year 5.59% 21.20%
10 Year 5.99% 20.20%
10 Year 6.59% 18.70%
10 Year 6.99% 17.70%
10 Year 7.59% 15.60%
10 Year 7.99% 13.00%
10 Year 8.59% 10.50%
10 Year 8.99% 8.00%
10 Year 9.59% 5.50%
10 Year 9.99% 5.00%
10 Year 10.59% 0.00%
15 Year 3.59% 30.60%
15 Year 3.99% 29.60%
15 Year 4.59% 27.20%
15 Year 4.99% 26.10%
15 Year 5.59% 24.40%
15 Year 5.99% 23.20%
15 Year 6.59% 21.40%
15 Year 6.99% 20.20%
15 Year 7.59% 14.70%
15 Year 7.99% 15.50%
15 Year 8.59% 13.00%
15 Year 8.99% 10.50%
15 Year 9.59% 8.00%
15 Year 9.99% 6.00%
15 Year 10.59% 0.00%
20 Year 3.59% 33.00%
20 Year 3.99% 31.90%
20 Year 4.59% 29.30%
20 Year 4.99% 28.10%
20 Year 5.59% 26.20%
20 Year 5.99% 24.90%
20 Year 6.59% 22.90%
20 Year 6.99% 21.60%
20 Year 7.59% 18.90%
20 Year 7.99% 16.50%
20 Year 8.59% 14.00%
20 Year 8.99% 11.50%
20 Year 9.59% 9.00%
20 Year 9.99% 7.00%
20 Year 10.59% 0.00%
25 Year 3.59% 35.00%
25 Year 3.99% 33.80%
25 Year 4.59% 31.10%
25 Year 4.99% 29.80%
25 Year 5.59% 27.80%
25 Year 5.99% 26.50%
25 Year 6.59% 24.40%
25 Year 6.99% 23.00%
25 Year 7.59% 21.00%
25 Year 7.99% 18.50%
25 Year 8.59% 16.00%
25 Year 8.99% 13.50%
25 Year 9.59% 11.00%
25 Year 9.99% 8.00%
25 Year 10.59% 0.00%
Sungage Financial "Level Pay" Program
*
Please Select
5 Year 2.99% 25.49%
5 Year 3.99% 22.99%
5 Year 4.99% 20.99%
5 Year 6.99% 14.99%
10 Year 2.99% 25.99%
10 Year 3.99% 23.99%
10 Year 4.99% 20.99%
10 Year 5.99% 18.99%
10 Year 6.99% 14.99%
15 Year 2.99% 29.99%
15 Year 3.99% 25.99%
15 Year 4.99% 23.99%
15 Year 5.99% 20.99%
15 Year 6.99% 14.99%
20 Year 5.99% 22.99%
20 Year 6.99% 14.99%
25 Year 5.99% 23.99%
25 Year 6.99% 14.99%
Mosaic "12 Month Promo" Program
*
Please Select
10 Year 3.99% 27.80%
10 Year 7.99% 15.00%
15 Year 7.99% 17.50%
20 Year 3.99% 33.90%
20 Year 7.99% 18.50%
25 Year 3.99% 34.80%
25 Year 7.99% 20.50%
Mosaic "18 Month Promo" Program
*
Please Select
10 Year 3.99% 28.70%
10 Year 7.99% 16.00%
15 Year 7.99% 18.00%
20 Year 3.99% 34.10%
20 Year 7.99% 19.00%
25 Year 3.99% 35.90%
25 Year 7.99% 20.50%
Goodleap "Level Pay" Program
*
Please Select
7 Year 3.99% 28.25%
7 Year 4.99% 22.75%
7 Year 5.99% 17.75%
7 Year 6.99% 13.99%
7 Year 7.99% 15.49%
10 Year 3.99% 29.75%
10 Year 4.99% 24.25%
10 Year 5.99% 19.25%
10 Year 6.99% 16.75%
10 Year 7.99% 14.00%
12 Year 3.99% 31.50%
12 Year 4.49% 29.00%
15 Year 3.99% 33.00%
15 Year 4.49% 31.24%
15 Year 4.99% 28.00%
20 Year 3.99% 35.24%
20 Year 4.49% 32.24%
20 Year 4.99% 29.74%
20 Year 5.99% 23.74%
20 Year 6.99% 19.49%
20 Year 7.99% 14.99%
20 Year 8.99% 10.99%
20 Year 9.99% 6.99%
20 Year 10.99% 3.24%
25 Year 3.99% 36.74%
25 Year 4.49% 33.74%
25 Year 4.99% 31.24%
25 Year 5.99% 25.24%
25 Year 6.99% 21.24%
25 Year 7.99% 15.24%
25 Year 8.99% 11.24%
25 Year 9.99% 6.74%
25 Year 10.99% 3.24%
Goodleap "Flex Pay" Program
*
Please Select
20 Year 3.98% 37.24%
20 Year 4.98% 32.24%
20 Year 5.98% 26.24%
25 Year 3.98% 39.24%
25 Year 4.98% 34.24%
25 Year 5.98% 28.24%
Goodleap "Fast Pay" Program
*
Please Select
20 Year 5.99% 31.24%
25 Year 5.99% 31.24%
Goodleap "NONO" Program
*
Please Select
20 Year 4.99% 30.74%
20 Year 5.49% 27.74%
20 Year 5.99% 24.74%
20 Year 6.49% 22.74%
20 Year 6.99% 20.49%
20 Year 7.49% 18.24%
20 Year 7.99% 15.99%
24 Year 4.99% 32.24%
24 Year 5.49% 29.24%
24 Year 5.99% 26.24%
24 Year 6.49% 24.24%
24 Year 6.99% 22.24%
24 Year 7.49% 19.24%
24 Year 7.99% 16.24%
Contract Price
*
Cash amount or total amount financed.
System Size (Watts)
*
Please Select
400
800
1200
1600
2000
2400
2800
3200
3600
4000
4400
4800
5200
5600
6000
6400
6800
7200
7600
8000
8400
8800
9200
9600
10000
10400
10800
11200
11600
12000
12400
12800
13200
13600
14000
14400
14800
15200
15600
16000
16400
16800
17200
17600
18000
18400
18800
19200
19600
20000
20400+
Main Panel Upgrade?
*
Yes
Only if required
Main Panel Upgrade Adder
*
Please Select
$2,750.00
Battery?
*
Yes
No
Enphase Battery Adder
*
Please Select
$13,850.00
Dealer Information
Installer
*
Please Select
Good Energy Group Inc.
Sales Dealer SKU Number
*
If you are unsure of your company's SKU number, call support at 951-474-0909 or contact your management. When you enter your SKU Number correctly you will see the following message pop up: "YOU'VE ENTERED A VALID DEALER SKU NUMBER!!!". If you don't see this message contact your management or call support at 951-474-0909. Hours: M-F / 7a-5p
YOU'VE ENTERED A VALID DEALER SKU NUMBER!!!
HIA - Home Installation Agreement - File Upload
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Sales Rep Name
*
First Name
Last Name
Sales Rep Email
*
example@example.com
Sales Rep Phone Number
*
Please enter a valid phone number.
Split Commission? Would you like to add another sales rep?
*
Yes
No
Sales Rep #2 Name
*
First Name
Last Name
Would you like to add a canvasser rep?
*
Yes
No
Canvasser Rep Name
*
First Name
Last Name
Submit
Should be Empty: