Submit Customer Information Here
Use the form below to submit your customer’s information:
First Name
Last Name
Street Address
City
State (ex: NY)
Zip Code
County
Select One
Bronx
Kings
Nassau
New York
Queens
Richmond
Suffolk
Email Address
Phone Number
Select the Utility
Select One
Con-Ed
National Grid
PSEG
Utility Account Number
Own Residence?
Select One
YES
NO
Type of Installation
Select One
Residential
Commercial
Residential - Fire Island
SUNation Roofing
New Construction
Sales Notes
Partner
Clean Energy Connection, LLC
Lead Source
Clean Energy Connection, LLC
