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 need financing*

YesNo

For financing purposes - Is your credit score above 660?*

YesNo

Do you have a pool?*

YesNo

Do you have an HOA?*

YesNo

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

YesNo

Are you interested in a backup energy system? (Could add additional savings, tax incentives)*

YesNo

Have you met with any other solar companies? If so, how can we better meet your needs?*

To ensure accurate pricing and saving details please provide 12 months of utility bills prior to your consultation*

PLEASE NOTE: A deposit may be required to start the project.

AMPD Representative Name:*

Please verify that you are human*

Consultant Name Consultant

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

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*

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

Solar Residential/Commercial Intake Form