First Name
Last Name
House Address
State
Zip Code
Telephone #
Public Email
No Shade
90% Shade
80% Shade
70% Shade
60% Shade
50% Shade
Dont Know
Asfault shingles
Metal Roof
Slate Roof
Wood Shingle Roof
Other
Less than 8/12 (33°)
More than 8/12 (33°)
1 Story
2 Storys
3 or more storys
Roof Mount
Ground mount
Solar facility information
Mass
Type of facility
Height of house
Roofing Material
Roof Pitch
Shade estimate
Azimuth ( 90°,180°, etc )
Electricity Provider
Average monthly bill
Installation Information
WMECO
NSTAR
NATIONAL GRID
Referral Information
Image attached?
YES
NO
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First / Last Name