Site Assessment Contact Information
First Name:
*
Last Name:
*
Address:
*
City:
*
State:
*
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code:
*
Phone Number:
*
E mail: *
What time is the best time to contact you?
*
Are you interested in financing?
*
YES
NO
Site Assessment Location Information
Do you own the building?
*
YES
NO
What kind of timeframe did you have in mind?
*
ASAP
1 - 4 WEEKS
4 - 8 WEEKS
LONGER THAN 3 MONTHS
How ready are you? *
Purchase and Install
Planning and Budgeting
Just Exploring
What is the square footage of the site?
*
Under 1000
1000 - 2000
2000 - 4000
Over 4000
What is the condition of you roof?
*
Needs Repair
Fair
Good
Excellent
Unsure
What is the material of the roof?
*
Composite Shingle
Wood Shingle
Metal
Tile
Ceramic Tile
Slate
Woodshake
Unsure
Who is your utility provider?
*
How much is your monthly electric bill?
*
Anything you'd like to add:
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