questionnaire

INITIAL CUSTOMER QUESTIONNAIRE

* Required

Contact Information:

* Name:

* Mailing Address:

* ZIP Code:

* City:

* State:

* Telephone:

* Daytime:

Evening:

Fax:

Cellphone:

* E-mail:

How did you hear about us:

What's your wind resource?

* Installation Address:

* ZIP Code

* City:

* State:

Latitude:

Longitude:

(Free latitude and longitude finder: http://www.itouchmap.com/latlong.html)

Wind Data:

Wind power resource class:

Choose Renewables (free wind resource tool) (http://www.chooserenewables.com/)

What’s your annual electric usage?

* Name of electric utility:

* Annual kilowatt hour consumption:

Provide copy of recent electric bills with yearly usage in kilowatt hours or copies of monthly
electric bills (last bill within 3 months) for the previous 12 months.

What type of turbine and how many are to be installed:

Select

How Many

UGE-eddy (600w)

UGE-eddy GT (1kW)

UGE-4kW

UGE-10kW

Questions, comments, or feedback: