Northern Lights Solar Systems

Name*

Company (if applicable)

Address*

City*

Province*

Postal Code

Telephone (day)

Telephone (evening)

Email*

Project Type

Clear South Exposure

Yes No

Roof Pitch

Roof Condition

Good Poor Reasonable

Roof Type

Shingles Metal Recycled

Rubber Other

Roof Type Age

0-5 years 10-15 years More than 15 years old

Roof elements such as vents and chimneys on the south side

Yes No

Approximate roof area available

Trees or buildings nearby

Yes No

Name of utility company

Distance from roof to existing utility meter

Project Scope

Please specify other custom size

Do you require financing?

Yes No

Best time to call you

Morning Afternoon Evening

Where did you hear from us?

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