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To initiate your free solar consultation, please provide us the information below so we may begin assessing your needs:

Step 1 - Please provide us some information about you.
	Items marked with an * are required.
	Your Name *
	Your Company
	Address *
	City *
	State* Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming     Zip*
	Phone *     ext     Format: 000-000-0000
	Fax     Format: 000-000-0000
	E-Mail Address *
	Your Message
	Please contact me via: Phone E-mail Postal mail When do you plan on installing a solar energy system? 3 months 6 months 1 year Not Sure

Step 2 - Please answer the following questions:
	How did you hear about us? Google Business Journal Sunset Magazine Wine Business AG Alert CA Grocer Tradeshow Other
	If Other, how did you hear about us?
	What type of business will this installation be for (ie, government, agriculture, education, etc)?
	What is your average monthly electric bill? under $200 $200-$300 $300-$400 $400-$500 $500-$600 $600-$700 $700-$800 $800-$900 $900-$1000 over $1000
	Who is your electrical utility provider?
	All solar electric systems are customized according to your individual energy usage, and expectation of the system. In order to get you the best estimate in the shortest amount of time, our Account Managers will need to know your total kilowatt hour (kWh) usage, by month, for the most recent twelve month period. This is shown on your last 12 electrical bills each month, or you can call your utility for this information – this usually takes only 5 minutes. If you already have your kilowatt hour usage, please list them in the additional information field below.

Step 3 - Please tell us about your location.
	Do you have at least 300 square feet of space (roof, patio covering, etc.)? Ideal locations are free of shading and facing towards the south. Yes No Not Sure
	If yes, please select one of the following which best describes this space: Pitched Roof Flat Roof Ground space
	Please select one of the following to describe the direction the available space is facing: West Southwest South Southeast East Flat
	If roof space, will you need a roof replacement within the next two years? Yes No
	If roof space, estimate how many years before the roof will need to be replaced:

Step 4 - Have a specific question or is there anything else we should know?

[Data protection guarantee: The information given by you is under data protection. It shall be used by the Conergy Group solely for the purpose of locating a qualified, local solar energy installer. We will not trade, sell or distribute your information for any other purpose or use.]

	Contact
Toll-free: 888.396.6611  Email: info@conergy.us  Contact Form