Solar Array Design Request

PGS SOLAR & SMART HOMES

PLEASE FILL OUT FORM COMPLETELY
Agreement Date/Fecha de Acuerdo *

Month Day Year
Date Date Picker Icon
Consultant/Representante

First Name Last Name
Primary Customer Name/Nombre *

First Name Last Name
Secondary Customer Name/Nombre

First Name Last Name

Address/Domicilio *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number/ Numero de Telefono *

Area Code Phone Number
Email *
example@example.com
Finance Company/ Financiera
Total System Price/ Precio Total de Sistema *
Interest Rate/Interes
Estimated Tax Credit-Credito Estimado / 30% Del Precio Total
Amount of Panels/Cuantos Paneles
Solar Panel Brand/ Marca de Panel
Electric Bill/Factura
Identification
MSP/ Panel Electrico
MSP/ Panel Electrico

Usage Chart

	Kilowatts	Monthly Payments/ Pagos Mensuales
January
Febraury
March
April
May
June
July
August
September
October
November
December

Addt'l Products/Productos Addicionales

Windows/Ventanas HVAC/ Aire Condicionado Roof/Techo Smart Home
Paperwork/Papeleo

Contract/Contrato 3 Day Cancelation/ 3 Dias Cancelacion Disclosure English or Spanish Bill/Factura I.D./ Identificacion
Addt'l Notes
Should be Empty: