MINI SPLIT DUCTLESS HEAT PUMP HOME ASSESSMENT FORM
CONTACT INFORMATION
first name
Middle name
last name or company name
*
Email
*
Saint John Energy Customer and Account Number (If Applicable)
Your home assessment will take approximately 30-40 minutes and will include;
Reviewing your current electrical panel and service for install
Reviewing the layout and square footage of your home
Discussing the areas where you spend the majority of your time in the home
Educating you on the basics of how Mini-Split Ductless Heat Pumps work and how they can cut your home heating costs
customer name
*
service address
*
city
*
customer email
*
phone number
*
phone extension
primary heating source
*
Select one...
Oil Furnace
Natural Gas Furnace
Central Heat Pump System
Central Wood Burning Furnace
Electric Baseboard
Electric Central Furnace
Other...
how did you hear about this program
*
Select one...
AHC
Billboard
Bill Insert/Ad on Invoice
Door Knocker
Friends/Family
Home Heat Saver
Homeshow
Radio Ad
Social Media
SJE Employee
SJE Website
Other...
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