Soltura Lighting Services Agreement Application

Soltura Lighting Services Agreement Application

Applicant Information -- this form is for commercial lighting services applications only.
Applicant's Legal Business Name
Applicant Contact Name

PrefixFirst NameMiddle NameLast Name
E-mail of Applicant Contact
Phone number of Applicant Contact

Area CodePhone Number
Mobile Phone number of Appliicant

Area CodePhone Number

Lighting Services Agreement Application

Project Details
Applying as
Project Site Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Project Information -- if available you can sumbit an existing proposal for lighting retrofit or upgrade

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Lighting Services Agreement Application

Financial Information
Does the borrower have an up to date assets and liabilities statement?
Upload Statement

Upload a File

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Have you previously been financed?
Lender Name
Financing was for

Lighting Services Agreement Application

Details
Project Gross Value
Estimated Annual Savings Amount (in kwh or $)

Lighting Services Agreement Application

Submit my Application
The information provided in this application shall not be shared to anyone else and is kept confidential.
I agree that the information provided herein is true and correct
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