Address:
City:
State:
Zip:
How would you
prefer to be contacted?
By Email
By phone after 5pm
By phone before 5pm
I prefer to contact you
How did you hear
about us?
Search Engine
Another Website
Marketing Event
Utility Company
Reffered To
Print Ad
Other
Project Site
Address (if different than above):
Type of
project:
New Construction
Residential
Existing Structure
Institutional/Non-profit/Government
Commercial
Other:
Who is your electric company?
Average 12 month
kilowatt hour usage
(this information can be found on your
utility bill or by contacting your power company):
Highest month
kwh usage in last 12 months:
Lowest month kwh usage in last 12 months:
Roofing Information
Age of roof in
years:
Roofing
Material:
Asphalt Shingle
Metal
Slate
Membrane
Other
Roof Pitch:
Flat
Shallow pitch
Medium pitch
Steep pitch
Approximate
South Facing Roof Square Footage
Is there any
shading from nearby trees, other buildings or roof
obstructions like dormers, stacks, etc. that may shade a
solar array between the hours of 10am and 4pm?
Yes
No
Not Sure
How many stories
above the ground is the roof:
System Preferences
(Check all that apply)
Roof Mounted
Solar Electric
Ground, pole or
tracker mounted solar electric
Let NCSolarNow
determine best location
Utility
interactive system without battery back up
Utility
interactive system with battery back up
Independent,
stand alone system
(uses no utility power)
A system with
internet based monitoring
My timeline for
installation is:
ASAP
3-6 Months
6-12 Months
More than 12 months
My budget range
for final project cost is:
Under $15,000
$15,000 - $30,000
$30,000 - $50,000
No Budget Planned
My primary
motivation for a installing a renewable energy solution is...
Other questions,
comments or concerns: