Formulario Lead Custom | Portal Prime Global Energy

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Primary Applicant Details

Customer Name *

First Last Name *

Second Last Name

Phone Number *

Second Phone Number

Email *

Customer's Social Security Number

Language

Customer's Date of Birth

Has a Co-applicant?

LUMA Account Holder

LUMA Holder

Marital Status

Profession

Social Security Number

Property & Utility (LUMA)

Street Address *

Zip Code *

City *

State *

Latitude *

Longitude *

ID Location Number

LUMA Account Number

Meter Number

Tabla de precios del EPC

En este documento se encuentran los precios del EPC desde Mayo a Junio.

* Todo proyecto de 8-12 paneles, solo comisionarán del PV *

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Project Details

System Size *

Quantity Panels *

Battery *

Roof type

EPC Base *

EPC Vendido *

Annual Production (KWH) *

Monthly Payment *

Payment Type *

Fixed Rate

Tiered Rate

Comments

Sales Information

Sales Rep Name *

Sales Rep Last Name *

Sales Rep Phone *

Sales Rep Email *

License Number

Partner Org *

Documents & Photos

Client ID (Document) *

Property Title

Utility Bill (Luma) *

Utility Bill (Luma) - Second Photo

Site Photos

Photo of Meter Location

Photo of Breaker Panel (Open Cover)

Photo Front of the House

Photo of the Ceiling