EV Chargers and Commercial Solar New Client In Take Form
Date
*
-
Month
-
Day
Year
Date
Consultant"s Name
NAD Energy Solutions LLC
Customer Business Information
Customer - Business Name
*
Business Address- (1 Location Per Form)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Customer Contact Name & Title
*
Is the person above the decision maker?
*
Please Select
YES
NO
Does the decision maker own the property?
*
Please Select
YES
NO
If no, list property owner information:
Customer Contact Phone Number
*
Please enter a valid phone number.
Customer Contact Email
*
example@example.com
Are they interested in EV Car Chargers?
*
Please Select
YES
NO
Notes EV - Purpose of Stations (Public/Private)
*
Notes - EV Car Chargers
Are they interested in Commercial Solar?
*
Please Select
YES
NO
Notes - Solar
General Notes
Submit
Should be Empty: