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Phone: 302-731-5556
Fax: 302-731-4021

Online Contact Form»

Solar Online Assessment Form

If you're interested in exploring a solar system for your home or business please fill out our quick online assessment form below and we will contact you with more details.
(* required fields):

*Full Name:
*Address:
*City:
*State:	*Zip Code:
	Installation Address (if different from above)
Address:
City:
State:	Zip Code:

*Daytime Phone:
Evening Phone:
Fax:
*Email
*Best way to be contacted:	Mail Daytime Phone Evening Phone Email
*Best time to reach :	(ex. around 5pm)

*What type of property?	Commercial Farm Non-Profit Residential
*Electric Utility Provider?
*What type of system are you interested in?
	Solar Electric System Solar Electric System with Battery Backup Solar Electric with Generator Back-up Solar Hot Water System
*What are your objectives for your solar electric system?
	100% of my electricity 75% of my electricity 50% of my electricity 25% of my electricity Unsure
*Why interested?	Reduce Electricity Bills Environmentally-Friendly Electricity Back-up power during utility outages Save money Energy Independence Other
*Average monthly electric usage:	kWh
*Average monthly electric bill:

Upload electric bill (optional):	- Max file size 1MB - formats: doc, pdf, jpg
*If you are considering a solar electric system with battery backup for emergency power, what ‘critical loads’ would you like to run during an outage? Battery backup adds approximately $6,500 to the cost of the system and is not eligible for state rebate assistance.
	Refrigerator Furnace Security System Water Pump Computer Lights Other
*Do you have a south, southeast, or southwest-facing roof that is clear of shading?
	Yes No
*Approximate Roof size:	estimated sq. ft.
*What type of roof do you have?	Asphalt Shingle Cedar Shingle Spanish Tile Concrete Tile Flat Roof Other:
*Age of roof:	0-5 years 6-10 years 11-15 years 16-20 years Over 20 years Don’t know
*Life Expectancy of roof:	20 years 25 years 30 years 40 years 50 years
*Are you interested in a ground-mounted system?
	Yes No
*How soon would you like to install your system?
	As soon as possible 3-6 months 6-12 months No time frame/unsure
*How did you hear about CMI Electric?
	Friend: Delaware Energy Office Website Other Website Trade show Advertisement Mailer Other:
	Anti-Spam Code: 1MWo5H *Verify anti-spam code above: (Note: spam code is case sensitive)