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PV System Pre-Qualification Form

SunMaxx Solar
56 Broome Corporate Pkwy
Conklin, NY 13748
P: 1.877.786.6299
F: 1.607.216.9530

SunMaxx Solar PV Systems


General Information
First Name:
Last Name:
State: Zip:
Phone (home):
Phone (cell):
Emaill Address:
What Is The Best Time To Contact You?
Electric Usage Information
Annual Electric Use (kw):
Avg. Monthly Electric Bill:
About The Proposed Installation Site
Address (if different than above address)
Does The Roof Face South? YesNo
Does Your Roof Get Shade During The Day? YesNo
Roof Information:
Age: Type: Slope:
Electrical Service Information:
Size: Type:
Additional Information
How Soon Were You Looking To Install Solar?
Who Is Involved In The Sale? Husband and WifeSomone Assisting With The CostOther
Please Tell Us Any Additional Information That May Be Relevant

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Expected Timeline to purchase?:

Customer Type:


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Contact SunMaxx Solar SunMaxx Solar
Sales & Main Office
Rte 206
Bainbridge, NY 13733

P: 1.877.SUNMAXX
P: 1.877.786.6299