NYPS New Deal Submission Form
Customer Name
*
First Name
Last Name
Customer Email
*
example@example.com
Customer Phone
*
Please enter a valid phone number.
Customer Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Sales Rep Name
*
First Name
Last Name
Sales Rep Phone
*
Please enter a valid phone number.
Sales Rep Email
*
example@example.com
Contract Signed Date
*
-
Month
-
Day
Year
Date
Contract Price
*
Module Type
*
Please Select
Qcell 365
Qcell 405
REC 420
Other
Module Count
*
Inverter
*
Please Select
Enphase IQ8+
Enphase IQ7X
Other
Primary Battery
Please Select
Tesla Powerwall
Other
Battery Count
Deal Type
*
Please Select
Cash
Mosaic
EnFin
Other
Utility Bill
*
Browse Files
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Choose a file
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of
Special Instructions
Installation Agreement/Purchase Contract
*
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of
Solar Panel Design Layout
*
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of
Bypass or " Fast Track" Photos
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of
Submit
Should be Empty: