New Customer Inquiry

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Your Name(Required)

First Last

How did you hear about us? Were you referred to us by anyone? Let us know! We have a generous referral program, and want to be sure to pay credit where it is due! *We really appreciate you taking the time to answer this question*(Required)

Preferred Method of Contact(Required)

Phone

Your Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

Please provide the full address with the solar installation.(Required)

Street Address City ZIP Code

What is your ideal timeline for installation of your solar project? (ASAP, next year, etc.) *(Required)

What type of system are you interested in:(Required)

Grid-tied without battery backup

Grid-tied with battery backup

Off-grid

I'm not sure

Do you have, or do you plan to have an electric vehicle?(Required)

Yes

Maybe

If you do have an electric vehicle, how long have you had it?What is the make and model? Do you need an EV charger?(Required)

What type of solar mount are you interested in?(Required)

Ground

Roof

I'd like more information.

If you would like a roof mount, please share what type of roof you have: (Leave blank if N/A)(Required)

Asphalt Shingles

Metal (if metal, please send us a photo of the profile.)

Other:

What year was your roof installed, and what condition is it in?(Required)

Is this property(Required)

Residential

Commercial

This is an example of a main service panel.

Where is the main service panel located? Please be specific. Ex: in the basement in the northeast corner.(Required)

Is there a service/emergency disconnect breaker on the outside of your home near or attached to the utility meter?(Required)

Yes

I'm not sure.

Other:

Do you have a heat pump?(Required)

Yes

If you do have a heat pump, how long have you had it?(Required)

Do you plan to install a heat pump/add more? If so, when? How many?(Required)

In the last year, have you installed any new appliances that use significant electricity? (example: hot tub) If so, when were they installed?(Required)

Do you have a generator?(Required)

Yes

If you do have a generator, how old is it? Is the generator automatic or manual start? Do you have a transfer switch, or is the generator attached to a breaker?(Required)

Are you planning on any tree removal, or have any trees been removed recently?(Required)

Yes

No, but I am open to it.

I have recently removed trees.

If you know your lot number, please provide it here. This information helps us to populate your renewable energy exemption form when your install is complete. Thank you!(Required)

Is there any additional information you would like to share with our design team?(Required)

This field is for validation purposes and should be left unchanged.

New Customer Inquiry

Assured Solar Information Intake Form

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