Complete New Lead Form
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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
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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
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