Name:

Business Name if applicable 

Address:   

Telephone:

FAX: 

e-mail address: 

Who is your electric utility provider?   Los Angeles Dept. of Water & Power Southern California Edison Pacific Gas & Electric San Diego Gas & Electric

What is your average monthly kWh usage for the past year? 350 - 400 kWh per month 400 - 450 kWh per month 450 - 500 kWh per month 500 - 600 kWh per month 600 - 700 kWh per month 700 - 800 kWh per month 800 - 900 kWh per month 900- 1000 kWh per month 1000 - 1200 kWh per month 1200 - 1400 kWh per month 1400 - 1600 kWh per month 1600 - 1800 kWh per month 1800 - 2000 kWh per month Above 2,200 kWh per month

Does your home have a South facing or flat roof area for the solar modules? South Facing South West Facing South East Facing Flat

How much South facing or flat roof area is there available for solar electric modules?  Under 256 Sq. Ft. 256 Sq. Ft. - 512 Sq. Ft. 512 Sq. Ft. - 768 Sq. Ft. 768 Sq. Ft. - 1,024 Sq. Ft. 1,024 Sq. Ft. - 1,280 Sq. Ft. 1,280 Sq. Ft. - 1,536 Sq. Ft. Above 1,536 Sq. Ft

What type of roofing material do you have ? Asphalt Shingles Concrete Tile Spanish Tile Asphalt Hot Mop ( Flat Roof) Cedar Shake Metal

Time Line for Installation ?  Right Away New Home Under Construction 1-2 Months 2-4 Months 4-6 Months 6-12 Months Next Year

How did you hear about Solar-Tec Systems?