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Full Name
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First Name
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Property Address
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Best Contact Number
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Email Address
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Average Monthly Electric Bill
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Under $100
$100–$200
$200–$300
$300–$500
$500–$750
Over $750
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Home Ownership
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Roof Material (optional but helpful)
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Composition shingle
Tile
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Interested In (Checkboxes – allow multiple)
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Solar panels only
Solar + Battery storage
Battery only (existing solar)
EV charging / home electrification
Unsure
Primary Goal
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Save money on bills
Backup power / outage protection
Go green / environmental
All of the above
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