Quick Energy Audit Form

Your Name

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Your Email(*)

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Company Name

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Street Address

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City

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Postal Code

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COMPANY CONTACT PERSON

Company Contact

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Email for Company Contact(*)

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Contact Phone # and Extension

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Permission to Contact(*)

YES - I understand that information will be shared with staff who will contact me to help navigate my requirements. I am under no obligation to proceed with options provided.

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Proceed to the next page to get an estimate of your energy savings! Upload your energy bills for a detailed analysis.

"Start your energy audit project today! Be sure to name your project, as many companies have multiple opportunities for savings. As you collect energy bills, you can open additional projects for us to audit and maximize your cost reductions."

Project Name(*)

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Project Description

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Estimated Monthly Electrical Costs

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Upload Utilities Bill

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Estimated Monthly GAS Bill

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Upload HVAC Bill

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Estimated Monthly Costs for Fire Protection

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Upload Fire Protection Bill

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Estimate of Monthly Telephone Bill

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Estimate Number of Phone Lines

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Upload Telecom Bills

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Captcha(*)

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