Do you own your home?
*
Yes, I own my home
No, I rent my home
What type of home do you live in?
*
Single Family Home
Apartment
Mobile Home
Other
What is your average monthly Electric Bill?
*
$0 - $100
$101 - $150
$150 - $200
$201 - $300
$301 - $400
$401 - $500
$500+
Estimated credit score
*
Below 640
640-700
Above 700
Street Address
*
City
*
Postal code
*
First Name
*
Last Name
*
Email
*
Phone
*
