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*

Sole ProprietorPartnershipCorporation
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

Upload a File

Cancelof

Lighting Services Agreement Application

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

YesNo
Upload Statement

Upload a File

Cancelof
Have you previously been financed?*

YesNo
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*

Yes
Should be Empty: