General Information
Your Name:
Phone:
Fax:
E-mail:
Company Name:
Address:
What issue(s) are you most concerned about for the
installation of distributed generation at your facility?
(Note: To select more than one concern, hold the CTRL key down while selecting.)
Does your company have multiple locations?
Is there a year-round heating and/or cooling requirement at your facility?

 
Operational Information:

What is your utility cost and consumption?
Electric
Electric Utility
Electric Supplier
Electric Rate
Cost per kWh ($/kWh)
Peak kW Use
kWh/month

Gas
Natural Gas Utility
Natural Gas Supplier
Gas Rate
Cost per mcf ($/mcf)
mcf/month

 
What are the characteristics of the heating and cooling systems?
Cooling:

Type of equipment:

Capacity (tons, Btuh, etc.):

Age/Efficiency/Condition:
/ /
Typical use:

 
Heating:

Type of equipment:

Capacity (tons, Btuh, etc.):

Age/Efficiency/Condition:
/ /
Typical use:
If there is more than one type of equipment, list in other information space below: