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Name

Email Address

Phone Number

Address

Home Home New Construction Existing

How much sqft?

Roof Condition & Age

Do you use Elevators or planning to?

Utility Company?

Products Interested in? Products Interested in? Solar panels SPAN Smart Electrical Panel TESLA Solar Roof TESLA Powerwall Battery Backup Ground mount or Roof mount Other

Have you received any other proposals? Have you received any other proposals? Yes No

Do you plan to buy an Electric Vehicle?

How did you hear about us? How did you hear about us? Online Search Social Media Tesla Website Builder or Architect Referral