Submit by Email
Customer Information Request
Press "Submit by Email" above, or go online to submit to SunTap Technologies. Keep this copy for your records.
Name:
Address:
City:
Postal Code:
Home Phone:
Preferred method of contact:
Preferred time of contact:
Date:
Cell Phone:
Other Phone:
E-Mail:
Are you interested in pool heating?
Yes
No
Are you interested in heating hot water in your home (SDHW)?
Yes
No
Are you interested in space heating?
Yes
No
Are you interested in electricity generation through wind, or photovoltaics (PV)?
Yes
No
Do you plan to purchase some type of generation system within the next year?
Yes
No
What is the approximate age of the building?
Years
What is the approximate age of the roof?
Years
What are you prepared to spend on a solar system?
Less than $4,000
$4,000 to $6,000
$8,000 to $10,000
$6,000 to $8,000
More than $10,000
Are you aware of the incentives and rebates available to you when you make a purchase?
Are you interested in financing your purchase?
Yes
No
Yes
No
Do you have a roof that faces between South-East to South-West?
Yes
No
Approximate area available to mount solar collector panels?
Ft. Wide
Ft. High
H
W
Is there any shading of this roof between 10 AM to 3 PM?
Not Sure
Yes
Is the roof sloped or flat?
Sloped
Flat
If the roof is sloped, what is the approximate slope?
Degrees
Pitch
Is your pool heated currently?
If so, what is the fuel source?
Yes
Natural Gas
Electricity
What is the fuel source of your current hot water heater?
Propane
Oil
Wood
Natural Gas
Other
No
No
Other
Electricity
(Please specify)
Have you had an Energy Audit conducted?
Yes
No
Would you like a Customer Information Package E-mailed to you?
Yes
No
Would you like a Customer Information Package mailed to you?
Yes
No
Would you like to schedule a site assessment?
Yes
No
Information that you provide is used solely for the puposes of the sales & marketing of solar equipment, and is neither sold
nor distributed to another party.
Copyright © 2009 SunTap Technologies
Printed in Canada
Rev. 0e
November 22, 2009