Canvassing Webform
First Name*
Last Name*
Phone*
Cell Phone
Email
House Number & Street*
City*
State*
Zip Code*
Avg. Monthly Electric Bill
Shading
Home Square Footage
How long have you owned your home?
Motivation for Solar Interest
Finance/Purchase Preference
Additional Notes
Appointment Date/Time

Canvasser Name*
Lead/Opportunity Source

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