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First Name *

Last Name *

Email 1 *

Phone 1 *

Email 2

Phone 2

Email 3

Phone 3

Address *

Street Address

City

State

Postal Code

Home Square Footage *

Homeowner Age

Home Purchase Date *

Year Home Built *

Roof Permit Date *

Roof Material *

Select roof type

Shingle
Clay Tile
Flat
Metal
Concrete Tile
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HVAC Permit Date *

Number of HVAC *

Utility Company

Select utility

Duke Energy
Florida Power and Light (FPL)
Orlando Utility Commission (OUC)
Lakeland Electric
Tampa Electric
Bartow Electric
Gainesville Regional Utilities (GRU)
Florida Electric Utility (Fort Meade)
Lee County Electric Cooperative (LCEC)
Withlacoochee River Electric Cooperative (WREC)
Peace River Electric
Clay Electric Cooperative
No elements found. Consider changing the search query.
List is empty.

Annual kWh Usage *

Avg Monthly Utility Bill Cost *

Existing Solar *

Yes

No

Solar Permit Date

System Size

Solar Contractor

Existing Battery

Yes

No

Pool *

Yes

No

EV Owner *

Yes

No

Additional Notes or Comments

We empower others and
help them achieve more!

Complete New Lead Form

We empower others and help them achieve more!

We empower others and
help them achieve more!