Grid Alternatives Pre-Qualification Form

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I am *

What is your connection? *

First Name *

Last Name *

Email Address *

Home Address *

Phone Number

Do you own and live in your home?

Yes

Number of Occupants *

County *

Income Range *

How did you learn about Grid Alternatives? *

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If you qualify we will contact you to give you more information and help you on your way to getting free solar for you and your family.