Aurora Registration
Client registration form for Lumia Energy’s Solar Distribution Network Project - Aurora (RES)
Customer Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
Province
Postal / Zip Code
Phone Number
*
-
Dial Code
Phone Number
E-mail
*
example@example.com
Residence
Details:
Type of Residence
*
Please Select
Standalone
Flat
Townhouse
Residence Status
*
Owner
Renting
If Renting, Provide Landlord's Name
Please provide your landlord's name if you're renting the property
Landlord's Phone Number
-
Dial Code
Phone Number
Recent Renovations
Yes
No
Size of Residence
*
1 Bedroomed
2 Bedroomed
3 Bedroomed
Over 3 Bedroomed
Monthly ZESCO Bill
*
Average normal electricity bill (in ZMW)
Any Solar System Installed?
*
Yes
No
If Yes, Please State Size
Enter the size of the system installed e.g 5kVa
Select Existing Backup System, If Any
*
Generator
Batteries
UPS Inverter
None
Battery Storage Option
*
If you would like us to include battery storage to your package for night time usage, enter "Yes". NOTE: Will affect tariff rate.
Landscape Photo (Wide Side)
*
Browse Files
Drag and drop files here
Choose a file
Upload a clear photo of your landscape (within yard) showing obstructions (if any) such as trees or shading from the wide side.
Cancel
of
Landscape Photo (Narrow Side)
*
Browse Files
Drag and drop files here
Choose a file
Upload a clear photo of your landscape (within yard) showing obstructions (if any) such as trees or shading from the narrow side.
Cancel
of
Electricity Utility Bill Photo
*
Browse Files
Drag and drop files here
Choose a file
Upload a clear photo of your ZESCO utility bill/receipt, no older than 6 months.
Cancel
of
Appliance Details:
Select the Appliances You Own From the Options Below
*
Fridge(s)
Freezer
TV(s)
Electric Stove
Lights (Bulbs Only)
Kettle
Microwave
Washing Machine
Air Conditioner(s)
Water Pump
Computer/Laptop(s)
Geyser(s)
Pool Pump
How Did You Hear About Aurora? (Optional)
Instagram
Facebook
Whatsapp
Website
Friend
Other
If Other, State Where
If you heard about Aurora elsewhere, please state where
Please Suggest Three People That Would Be Interested in Our Service (Optional):
Rows
Full Name
Address
Contact Number
1
2
3
Please verify that you are human
*
Calculation
Register
Should be Empty: