Energy Alternatives LLC: Assessment form

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Name:*
Street:
City:*
State:*
Zip:*
Email:*
Phone:*
The front of my house faces:
Type of roof:
Number of stories on house:
Number of family members in house:
Size of current water heater in gallons:
Type of water heater:
On which side of house is water heater located:
Location of water heater in house:
Comments: