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Contact Information:
Customer Name:
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Cutomer Contact Number:
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xxx-xxx-xxxx
E-mail:
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Address:
City/Island:
Village:
State:
Zip:
Country
Fax:
Site Information:
Average Power Consumed Per Month:
Numbers only; this number can be found on your power bill as Kilowatt Hours or KWH
Building Type:
Single Story
Multiple Story
Roof Type:
Concrete
Tin
Roof Style:
Flat
Pitched
Comments: