Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you expect your electricity use will increase significantly in the near future?

Yes

No

Is your roof flat or pitched?

Flat

Pitched

Is your roof unshaded for most of the day?

Yes

No

Do you have an HOA (Homeowner’s Association)?

Yes

No

How did you hear about Celestar Solar? *

Google Search

Friend

Referral

Solar Website

Other