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Name(Required)

First Last

Building Address(Required)

Street Address City State ZIP Code

Title(Required)

Please add your title here

Organization Name(Required)

Please add your organization name here

Phone(Required)

Email(Required)

Enter Email Confirm Email

Is the window Single or Double pane? (Select one)(Required)

Single pane

Double pane

Identify a typical window and measure the WIDTH and the HEIGHT of the glass area. Enter the result here (W & H)

Post Image

Accepted file types: jpg, jpeg, png, gif.

Width in inches

Height in inches

Upload a clear picture of your window here(Required)

Drop files here or

Accepted file types: jpg, png, Max. file size: 300 MB.

Estimated total number of windows at your building(Required)

Do you use gas or electric to heat your building(Required)

Gas

Electric

Estimated cost of electricity per kWh and/or the name of your utility company

Estimated cost of natural gas (per therm) and/or the name of your utility company.

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