SPA Intake Form

SPA Intake Form

Coulomb Capital
Company*
Company Email*
Docusign will be sent here
Homeowner*

First NameLast Name
Phone*
Email*
Street*
Apt/Suite #
City*
State*
Zip Code*
Utility Company*
Project Type*
Annual Usage (kWh)*
System Size (kW)*
CC/W*
$6.50 if System Size is less than 7kW; $6.00 if System Size is greater than 7kW and less than 15kW; $5.50 if System Size is greater than 15kW.
Year 1 Energy Production
Prepayment Amount (Panels)
System Price
System Location*
Method of Payment*
Module Manufacturer*
Inverter Manufacturer*
Term
Is a battery included?*

YesNo
Battery Size (kW)
Battery Brand
Battery Cost/kW
Battery Price
Prepayment Amount (Battery)
SYGO %
Six Year Guaranteed Output
Total Prepayment
Total Cost/kWh
Prepaid Output
Should be Empty: