Name *

Full Address

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Single phase or three fase installation

(Select entry) Single phase Threephase

Annual consumption in Kw

Annual electricity consumption in Kw

Montlhly consumption in Kw (If you have filled in the annual it is not necessary)

Your consumption of the last bill in Kw (If you have filled in the annual it is not necessary)

Pitched or flat roof

(Select entry) Pitched roof Flat roof

CUPS

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Phone number *

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