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State Renewable Energy -Form Fill

Section One
Q1

What town do you live in?
Q2

How much are your monthly SUMMER electricity bills?
Q3

How old is your roof?
Q4

What's your address?

Street Address
Q5

What's your address?
Q6

What's your address?
Q7

What's your address?

State / Province
Q8

What's your address?

Postal / Zip Code
Q9

What's your estimated credit score?
Q10

What's your name?

First Name
Q11

What's your name?

Last Name
Q12

What email should we use to send your custom design?
Q13

What number should we text a confirmation to when your custom roof design is ready to be reviewed?