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Name:         

Address:      

City:           

State:                      Zip:    

Type of Business:       Square Footage:  1500 1800 2200 2600 3000 4000 6000

Average cost of electricity for seasons: (Ex: month 1 x month 2 x month 3 / 3 = AVG)

Fall:  Winter:  Spring: Summer:

How may we contact you?:

Phone:   E-mail: