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Items in BOLD or * are required, otherwise tell us as much as you can so we
can help you most efficiently and effectively! Thanks!


* Full Name
Address
Home Business
Address
City
State
Zip
Shipping Address (if different from above)
Address
City
State
Zip

Amount of Monthly Electric Bill $
Contact me and share how much in savings and rebates we can generate Yes No

I am interested in product only
I would be interested in turnkey where you take care of all paperwork associates with design, layout, engineering and rebates
Both


Which are you trying to accomplish?  (Retrofit, redesign, etc.)  Please Describe.
Do you have an audit done? Yes No
If we could help (at no charge) create an audit would you like us to? Yes No
Have you ordered from us before? Yes No
Please summarize the list of items that you are currently looking at, and if you require a quote or more information.
Would you like assistance with tax and state or utility incentives? Yes No
What type of facility are you:
Industrial Commercial Municipal Office Nonprofit
Warehousing School Hospitality Other














 




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See a sample list of manufacturers we provide

www.ALOWERENERGYCOST.COM

www.aec-distribution.com

401 New Karner Road, Albany, NY 12205