While residential solar hot water systems are fairly standard, every home is different. Fill out the following form, and we’ll be happy to arrange a site visit and prepare a free quote for you.

Email: *

Name: *

Street Address: *

Town: *

Phone: *

Daytime Phone Number:

What are you considering a Solar Thermal System for: *

Domestic Hot Water

Space Heating

Do Not know

What are your primary interests in solar energy?:

Reduce Expenses

Support Local Economy

Help Environment

Receive Rebates

Improve House Value

Style of House: - None -BungalowSaltboxCape CodTownhouseSplit LevelSide SplitMulti UnitOther

# of Stories: - None -11.522.53more than 3

# of Occupants:

# of Bedrooms:

# of Bathrooms:

Do you know where South or True South is in relation to your house?: - None -yesno

Is there a roof or wall surface which faces within 45 degrees of South?: - None -yesno

Is there enough space on this surface for a 4’ x 8’ solar collector ?: - None -yesno

Is anything shading or blocking the sun from shining on that space?: - None -yesno

What is the Slope of your Roof?:

Flat

Shallow Pitch

Medium Pitch

45 degrees

Steep Pitch

Other

Roofing Type:

Asphalt Shingle

Bitumen

Rolled On

Tar & Gravel

Metal

Other

Age of Roof:

How do you heat your Domestic Hot Water::

Electric

Propane or Natural Gas

Oil

Wood

Heat Pump

Other

Do you have a Hot Water Tank?:

Where is your Hot Water Tank located?:

Our system includes a 60 gallon hot water storage tank to function as heat storage battery. Where is there room for this hot water storage tank in your house?:

How do you heat your house:

Electric

Propane or Natural Gas

Oil

Wood

Heat Pump

Other

How is your heat distributed:

Hot Water - Baseboard

Hot Water - Cast iron radiator

In Floor

Forced Air

Other

Has your house had an energy audit performed through the federal Eco Energy program?: *

Yes

No

Do not know

We have booked our audit

Our audit has expired

If you are a participant in the ecoEnergy program, what is the timeline for your follow up audit?:

What code is in the image?: *

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