This free survey is powered by
  1. Surveys
  2. 2013
  3. August
  4. Z
  5. Zamsolar Customer Information Sheet
0%
Exit Survey
 
 
Name
   
 
 
 
Location
   
 
 
 
Phone Number
   
 
 
 
Email Address
   
 
 
 
Facility Type (home? school? tourist camp? something else?)
   
 
 
 
Describe your facility and your site
   
 
 
 
Please describe your current power source (if any) and any other notes about your facility or site that may be useful to us
   
 
 
Energy Usage Details
Appliance Quantity Power Rating (watts) Hours Used per Day Notes
1
2
3
4
5
6
7
8
9
10