Founded in 1980, Cape & Islands SELF-RELIANCE is dedicated to promoting environmentally sound technologies and sustainable practices that provide tangible benefits through education, advocacy and collective membership. Our research, education and direct services enable households, small businesses and towns to use natural resources efficiently, reduce pollution and save money.

Signing up for a solar site evaluation is easy as 1, 2, 3!

1. Fill out the form below
2. Pay using your Visa or MasterCard using our secure service.

3. You will receive a confirmation letter from us and a call from a site evaluator to set up a time to visit your home for the evaluation.

Easy!

If you prefer, you may print the site assessment request form and return it with a check. Click here for a printable version of the site assessment request form. Please click to view our Privacy Policy and Refund Policy.

Please complete the form below for a site assessment.

First Name
Last Name
Mailing Address
City
State
Zip Code

Installation Address
City
State
Zip Code

Phone Number (s)
E-mail

Please check the clean energy technology that you are interested in having your property evaluated for:

	Solar Thermal (heat and hot water) ...$95.00
	Photovoltaics ...$95.00
	Combined (photovoltaics & solar thermal) $145.00
	Solar Thermal Service Call (system evaluation) $75.00

1. Where is your electrical meter located at?

	Your house?
	The street?

2. What is your average monthly kilowatt-hour consumption?

3. What type of energy do you use for heating?

	Gas
	Oil
	Other:

4. What type of heating system do you have?

5. Does your roof face south within 15 degrees of true South, and is it unshaded from 9:00am�3:00pm? (True South is 15 degrees west of magnetic south on a compass)

	Yes
	No
	Not Sure

Comments:

5a. If there is vegetation shading the roof, would you consider trimming or removing it to accommodate the solar system?

	Yes
	No

6. What is the style of house?

	Cape
	Colonial
	Ranch
	Other:

7. What is the approximate square footage of the house?

8. What type of roof is on your home?

	Asphalt shingles
	Wooden Shingles/Shakes
	Other:

9. How many people live at this residence?

10. Is the building in an historical district?

	Yes
	No

11. Is the home in an area where covenants exist?

	Yes
	No
	Not Sure

12. How did you hear about Self Reliance?

13. Have you already been in contact with a solar contractor?

	Yes
	No

If yes, who?

14. Are you interested in working with a particular company?

Credit Card Information
Credit Card:
Card Number:
Card Verification No:	3 or 4 digit number [ Info ]
Expiration Date:	/
Name on Card:

Proudly making a difference in the following Cape Cod, Massachusetts towns and villages: Barnstable, Bourne, Brewster, Buzzards Bay, Centerville, Chatham, Cotuit, Craigville Dennis, Eastham, Falmouth, Harwich, Hyannis, Hyannisport, Marstons Mills, Mashpee, Orleans, Osterville, Provincetown, Sandwich, Truro, Wellfleet, Woods Hole, Yarmouth, Yarmouthport

Oil Cooperative also serves the following southeastern Massachusetts towns and cities: Abington, Acushnet, Assonet, Avon, Berkley, Braintree, Bridgewater, Brockton Brookline, Buzzards Bay, Canton, Carver, Cohasset, Dartmouth, Dedham, Dighton, Duxbury, East Bridgewater, Easton, Fairhaven, Fall River, Foxboro, Freetown (Assonet) Halifax, Hanover, Hanson, Hingham, Holbrook, Hull, Humarock, Kingston, Lakeville, Manomet, ,Mansfield, Marion, Marshfield, Mattapoisett, Middleboro, Milton, Needham New Bedford, Newton, Norfolk, North Carver, North Dartmouth, North Dighton, North Easton, Norton, Norwell, Norwood, Onset, Pembroke, Plymouth, Plympton, Quincy, Randolph Raynham, Rehoboth, Rochester, Rockland, Sagamore, Sagamore Beach, Scituate, Seekonk, Sharon, Somerset, South Carver, South Dartmouth, South Easton, Squantum (Quincy), Stoughton, Swansea, Taunton, Walpole, Wareham, West Bridgewater, Westport, Westport Point, Westwood, Weymouth, White Horse Beach (Manomet), Whitman

Copyright�2008 Cape & Islands Self-Reliance Corporation
23A Edgerton Drive, North Falmouth, MA 02556
Toll-Free: 888.808.0120 or 508.563.6633 Fax: 508.563.1123
Email: reliance@reliance.org

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Cape & Islands Self-Reliance Corporation Solar Site Assessment

Cape & Islands Self-Reliance Corporation

Solar Site Assessment