Home Services Solar Energy Lead Form
Basic Lead Information
LCP ID:
Zipcode:
Vertical:
Home Services (HI)
Category:
Solar Energy
Subcategory:
Solar Electrical
Solar Thermal
Lead ID:
Exclusive:
Yes
No
Buyer Select Friendly:
Yes
No
Legs Sold:
Pre-Sold ID Codes (comma separated):
Contact Information
First Name:
Last Name:
Email:
Phone:
Preferred Contact Method:
Any
Phone
Email
Opt-in for Offers/Promotions:
No
Yes
Address Information
State:
County:
City:
Zipcode:
Address Line 1:
Address Line 2:
Apartment:
Solar Energy Details
Property Type:
Residential
Commercial
Industrial
Current Monthly Electric Bill ($):
$0-$100
$101-$200
$201-$300
$301-$400
$401+
Roof Type:
Asphalt Shingle
Metal
Tile
Slate
Flat
Other
Home Ownership:
Own
Rent
Other
Roof Shading:
No Shade
Partial Shade
Mostly Shaded
Not Sure
How Soon Are You Looking to Install?
Immediately
1-3 Months
3-6 Months
Just Researching
Additional Information:
Looking for information on solar panel installation to reduce energy costs.
Compliance Information
TCPA Consent Language:
By clicking Submit, I agree to be contacted via phone, email, or SMS about my request for solar energy services, even if my number is on a Do Not Call list. Standard message/data rates may apply. I understand these calls may be generated using an automated technology.
TCPA Consent Given:
Yes
No
Is Mobile Phone:
Yes
No
Unknown
Consumer IP Address:
Tracking Data (optional)
Ad ID:
Sub ID:
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Select Solar Providers
Please select the providers you'd like to work with:
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Response
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