SunWize North American Solar Dealer Information Form

YOUR COMPANY PROFILE
Name:
Title:
e-mail address:
Web site address:
Telephone:
Fax:
Company Name:
Street Address:
City:
State/Province:
Postal Code:
Country:
Company's primary business:
Years in business?
Federal Tax ID#:
Number of employees:
Do you have an electrician(s) on staff? Yes No
Are you NABCEP certified? Yes No
Other office locations? Yes No
Are you currently in the solar electric (PV) business? Yes No
Please describe:
Can you provide sizing and design services? Yes No
Will the majority of your installations be off-grid or grid-tie?
Are you able to provide installation and after sales service? Yes No
If you have spoken to a SunWize representative, please enter the SunWIze sales manager's name:
Submit the form: