Sakura BPO
Contact
Solar Basic Form Outside Center
Phone Number
*
FirstName
*
LastName
*
Email
Address
*
Address2
City
*
State
*
AK
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AR
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OR
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VA
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WA
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Zip
*
Electric Usage
Over 150
75-150
Less than 75
Electric Company
*
Credit Score
Over 700
Between 650-700
Between 600-649
Under 600
Shade Obstructions
*
Select
No Shade
A Little Shade
A Lot of Shade
Uncertain
Roof Quality
Good
Not Good
Flat Roof?
*
Yes
No
Are you Retired or do you have a Job?
Retired
Working
Is your yearly income over $30,000? (about $2500/mo)
Yes
No
Comments
If you are human, leave this field blank.
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