Power Solar Energy Client Intake Form

Date

MonthDayYear

Customer Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.

Email

example@example.com

Location Type?

When Would You Like To Start Saving Money?

Do you have a HOA? IF so, include the info.
Do you have a HOA? If so, include the info

Do you have a pool? Do you have a pool

Is the solar going on the roof, ground mount?Is the solar going on the roof,ground mount

Are you planning to add an EV in the next 2 years? Are you planning to add an EV in the next 2 years

Do you plan to add more people to live in your home? Do you plan to add more people to live in your home

Are you planning to replace the roof in the next 2-3 years? Are you planning to replace the roof in the next 2-3 years

Do want to own or lease the Solar system? Do you prefer to own or lease your PV system

Do you need an electrical panel upgrade? Do you need an electrical panel upgrade*

Do you want an extra battery unit for added backup? Do you want an extra battery unit for added backup

Do you have at least a 650 credit score? Do you have at least a 650 credit score*

Is this a residence a primary home or investment property? Is this a residence, primary home or investment property

How soon do you want to have solar installed? How soon do you want to have solar installed

For Commercial: What are your hours of business? For Commercial: What are your hours of business

For Commercial: Are you interested in EV Charging Stations? For Commercial: Are you interested in EV Charging Stations

IS THIS A NON-PROFIT OR CHURCH? Submitted by: AMPD EV

**Pls provide photos of your main panel (including label on back of cover)
***Your credit score is important only if this is a loan purchase.

Attach 12 months of electric bills (Commercial and Residential)

Submitted by: AMPD EV

Consultant Name Consultant Name

Please verify that you are human*

Solar Customer Intake Form