Information Request
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
E-mail
*
example@example.com
Address
*
Street Address
City
State / Province
Postal / Zip Code
Are you the owner on title?
*
Please Select
Yes
No
What Type of Residence is this?
*
Please Select
Primary
Secondary
Tertiary
Long Term Rental
Vacation/Short term Rental
Type of structure
*
Please Select
Single Family Residence
Multi-Unit home
Connected Townhouse
Condominium
Business
Ground mount
Back
Next
Roof Type
*
Please Select
Composition Shingles (Asphalt/3 tab shingles
Concrete Tiles
Clay Spanish Tile
Flat Torch down/ Hot Mop
Metal standing seem or similar metal roof
Stone coated or metal tile or shingle look-a like
Either clay or concrete tile. Not sure
Wood Shake shingles
Flat Concrete
Synthetic Tiles
Standing Seam Metal Roof
Roof Age
*
Please Select
0-5 years old
6-10 years old
11-15 years old
16-20 years old
21-25 years old
26-30 years old
31-35 years old
36-40 years old
41+ years old
Have you had any roof problems or repairs? In general how would you say the condition of your roof is?
*
Are you wanting a roofing proposal
*
Please Select
Yes
No
Are you interested in…
Please Select
Solar only
Solar + battery
Battery only
Electrical Service Source
Please Select
Overhead (From street poles)
Underground Wires
Not Sure
Who is your current Utility Company?
*
Electric vehicle
*
Please Select
I don't have one and don't plan on it
I will purchase one within the next few years
Ordered but not arrived yet
I have one
I have two
Do you live in an HOA?
Please Select
Yes
No
Describe future electrical changes to your usage
*
Payment method preference
*
Please Select
Cash/Check
Loan/Financing
Maybe cash maybe financing, depends how much it is
Do you have a reverse mortgage on your house?
*
Please Select
Yes
No
What's that?
Approximate Credit Score
*
Please Select
800+
720+
680+
650+
600+
500+
Back
Next
Submit Form
Please upload a PDF file of your Utility bill. A clear photo will work if you cannot download the PDF
Browse Files
Drag and drop files here
Choose a file
Cancel
of
I will need three photos of your main electrical panel. I have three file upload spots for you. First I need a photo of all the breakers. Open your electrical panel door for this photo please.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
The second photo is of the inside of your electrical panel's door. There is usually an information sheet located there. Please take a photo of that clearly
Browse Files
Drag and drop files here
Choose a file
Cancel
of
The third photo is of your electrical panel photo from several feet back so I can see the surrounding area we are working within.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: