RTLE Solar Lead Form - Green Mountain Energy Company

*

Yes, the property in question is a single-family, owner occupied home. *

I enrolled customer on electricity product.

Customer Name*

First Last

Agent ID*

Agent Location (store or event name)*

Preferred Time to be Contacted*

Customer’s Authorization (Initials)*

I understand that by typing my initials in this box, I authorize Green Mountain Energy to provide my contact information and related electricity account information to their preferred solar installation partner.* The installation partner or Green Mountain may contact me for the purposes of marketing rooftop solar at the telephone, email address or mobile number I provided potentially using automated telephone technology including auto-dialers and text messages, even if my telephone or mobile number is currently listed on any state, federal or corporate “Do Not Call” list. I further understand that I am not required to give my consent as a condition of purchase.

*Green Mountain preferred solar installation partners for this program include: Texas Solar Outfitters, Native, Inc. and Freedom Solar.

Customer Service Address

Street Address

City

State

Zip

Customer Email

example: "name@gmail.com" Confirm Email

Phone