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free lighting audit
Free Lighting Audit
Improve your lighting, get a rebate and cut your electric bill.
Learn more >>
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*
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Customer Information
*
Customer name:
Account #:
(format: ######-#####)
- or -
Address:
*
E-mail address:
*
Contact phone #:
(digits only, include area code)
*
Preferred method of contact:
e-mail
phone
E-mail subscription:
Please include me in future mailings on energy efficiency programs.
Registration Information
*
Building type:
restaurant
retail
office
industrial
health
education
medical
other:
Square footage:
Operating hours:
Approximate age of building:
How did you hear about this program?
postcard
e-mail
Web page
phone
television
friend
advertisement
other:
Are you interested in being contacted about other energy efficiency projects?
Yes
No
Notes/comments/questions:
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