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Do I Qualify?

* Facility  * Contact Person 
  Title  * Address 
* City    State 
* Phone 
000-000-0000 		* Zip 
  Fax 
000-000-0000 		* Email 
 
  Type of Facility    Utility Pin # 
if applicable
  Utilities    FEIN or Tax # 
Some utilites require your ID# in order to receive usage information on your account
  Account Numbers 
separate by commas 		  Web Site Url 
 
  Generator?    Capacity (kW)    Load (kW) 
  Hours of Operation    Facility Sq. Ft.    # of Buildings 
  # of Shifts    # of Employees 
  When is Peak kW hit? 
  % of Buildings with A/C 
 
Have you ever participated in a Demand Responce Program?  
Do you have an energy management system?  
% of Equipment you can shut down upon day-ahead notice  
List the equipment you can shut down upon day-ahead notice:
Air ConditionersChillerLightingAir HandlerFansAir CompressorRefrigerationBoilersElevatorsDomestic Hot WaterLaundryMotorsDishwasher w/Electric Heat BoosterElectric Space HeaterCooling TowerPumps

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