SOLARCHOICE Application

* = Required Fields

First Name*

Last Name*

Service Address*

Apt #

City*

Zip*

Home Phone:*

Email*

Account #*

Average Monthly Usage:*

(Call 507-433-8886 for help)

Number of Panels:*

(See chart below for max # of panels allowed.)

Subscription Option:*

6 Year @ $340 per Panel

Payment Option:*

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