Name of Property or Complex
First Name
Last Name
Title
Email
Phone
Phone Extension
Mobile
Preferred Language
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English
Spanish
Arabic
Cantonese
Cape Verdean Creole
French
French Creole
Greek
Haitian Creole
Japanese
Khmer
Mandarin
Pashto
Polish
Portuguese
Russian
Vietnamese
Other
Preferred Language - Other
What is your preferred contact method?
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Email
Text
Mobile Phone
Work Phone
Street Address of Property
City
State
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AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
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TX
UT
VT
VA
WA
WV
WI
WY
Zip/Postal Code
Does this property contain any commercial businesses (Mixed Use) or is it exclusively residential units (Multifamily)?
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Mixed Use
Multifamily
How many individual residential units are on the property?
Is this a condo complex?
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Yes
No
Electric Utility
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Eversource
National Grid
Cape Light Compact
Holyoke Gas & Electric
Liberty Utilities
South Hadley Electric Light Department
Unitil
Wakefield Municipal Gas and Light Department
Other
Natural Gas Utility
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Eversource
National Grid
Berkshire Gas
Holyoke Gas & Electric
Liberty Utilities
Unitil
Other
None
What is the primary heating fuel for the property?
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Electric Resistance
Fuel Oil
Heat Pump
Natural Gas
Pellets
Propane
Solar
Wood
Mixed
Other
Are there any energy efficiency measures your facility is particularly interested in?
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