Visa Energy| Diesel Generators|Gas Generators|Marine Generators|Electricity Generators from 5kVA to 3000kVA

Renewable Energy Customer Questionnaire

Full Name ^*

Email ^*

Contact Number ^*

Other Phone

Date ^*

Address ^*

Town ^*

Province ^*

Post Code ^*

Address (where system will be installed, if different than above)

Country ^*

Do you want to receive notices of Wind Power Generator, Solar Power or Co-Generation sales, happening & legislative alerts?
Yes No

Who is your electric company

This system is for a: Home Business Other

Your role: Owner Builder Architect Other ^*

Your reason for a Wind Power Generator or Co-Generation or Solar Energy System:

Clean Energy Energy independence

Hedge against higher energy prices Reliable energy Other

Are you interested in a photovoltaic (solar electric) system?
Yes No

Are you interested in a back up power system (UPS)?
Yes No

How did you learn about Visa Eneregy GB Energy Solutions?

Any additional comments

Do you use Gas? Yes No If so what for:

How much do you use?

Winter Month

Summer Month

Electricity Use- Preferred Method (most accurate) Find your monthly electricity usage for each of the last 12 months (Labeled KWH on your bill) Total the 12 monthly usage figures to find your total annual usage. This is also available as a report from your electric company. Total Annual KWH usage:

Find the monthly usage for 2 or more months (Labeled KWH on your bill). If possible select one month from each season.

Spring

Summer

Fall

Winter

Solar panels can be installed on a roof, trellis, on a pole or a ground-mounted rack.Where would you like to mount the panels?
Roof Top of Pole Tracker (single axis) Tracker (single axis) Ground mount Power-Shed Garage Awning style Side of Pole

If on the roof, what type of roof do you have?

If you prefer a roof-mounted system, please answer the following

Is there an area(s) on your roof that is exposed to the sun most of the day?
Yes
No

Approximate orientation of exposed roof area(s)
Yes
More

East Southeast South Southwest West Other

What is the approximate square footage of exposed roof area?

Type of roof: Composite Tar & Gravel Rubber Wood shake Tin Tile Other

Approximate age of roof:

Number of stories on building:

General condition of roof:

Approximate slope of roof area: Flat 3:12(14 degrees) 4:12 (18 degrees) 6:12 (27 degrees) 12:12 (45 degrees) Other:

+44 (0) 1604 - 410838

Renewable Energy Customer Questionnaire

Renewable Energy Customer Questionnaire