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Deal Submission for Grid Guard Install Agreement - Loan
Customer Information
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Rep Name
*
First
Last
Rep Email
*
Rep Phone Number
*
Dealer Name
Customer Name
*
First
Last
Homeowner Address
*
Address Line 1
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Does the Homeowner live in an HOA?
*
YES
NO
If you selected YES, please fill out HOA Name & Contact Number below.
HOA Name
HOA Contact Number
Customer Email
*
Customer Phone Number
*
System Size
*
Year 1 Estimated Production
*
Total System Cost
*
Cost Due Upon Signing Contract
*
Type N/A if not applicable
Cost Due at Ordering Materials
*
Type N/A if not applicable
Cost Due at Installation
*
Type N/A if not applicable
Email Year Contract
Due - OTHER
*
Type N/A if not applicable
Explanation for Due- OTHER
*
Ex: Monthly Payment Amount, Due upon PTO, etc. - - Type N/A if not applicable
System Design
*
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Choose Files to Upload
You can upload up to 2 files.
Image or screenshot of system design
Utility Bill
*
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Customer Photo ID
*
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Additional Notes
Submit
