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
Bronx
Kings
Nassau
New York
Queens
Richmond
Suffolk
Email Address
Phone Number
Select the Utility
Con-Ed
National Grid
PSEG
Utility Account Number
Own Residence?
YES
NO
Type of Installation
Residential
Residential - Fire Island
SUNation Roofing
New Construction
Sales Notes
Partner
Sunchain Energy
Lead Source
Sunchain Energy