SURVEY

"ON-LINE" CUSTOMER REQUIREMENTS SURVEY

Start the process today and complete this short "On-Line Customer Requirements Survey". Upon receipt of your survey, a NGP (National Green Products) energy manager will review the data and respond back to you within 2 to 3 business days.

NOTE: This is required in order to view Case Studies of past clients along with a signed NDA.

Thank You !

QUICK ON-LINE SURVEY

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First/Last Name:*

Title:

Company Name:*

E-mail address:*

City / State:*

Direct Phone:

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24 hour x 7 day shift schedule

16 hour x 6 day shift schedule

24 hour x 5 day shift schedule

8 hour x 6 day shift schedule

16 hour x 5 day shift schedule

8 hour x 5 day shift schedule

1. PROVIDE ANY COMMENTS:

II. PROVIDE FACILITY DATA: (1) Approx facility size (sqft); (2) Type of facility (i.e. Mfgr, Office, Hospital, School, other);

III. PROVIDE ELECTRIC SERVICE DATA: (1) # of electric services or # of electric meters at this facility; (2) Type of electric service (i.e. 600V 3-Phase, 480V 3-Phase, 240V 3-Phase, and is it 3 or 4 wire);

IV. PROVIDE ELECTRICAL SYSTEM DATA: (1) Approx Load (Amps) of each service?

V. PROVIDE ELECTRIC COST & USAGE: (1) Annual electric cost ($); (2) Anuual usage (kWh);

VI. PROVIDE ENERGY PROJECT GOALS: (1) Annual energy cost savings goal ($/Yr); (2) ROI goal for that saving in months:

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