Section 1: Customer Information Customer/Location/Business/Name * Customer Contact Name * First Name Last Name Email Address Phone (###) ### #### City/State/ZIP Section 2: Rebate and Utility Company Information Utility Company Utility Account No. Type(s) of Rebate Service ID Section 3: Payment Information Payment Method ZOHO Invoice No. Customer Deposit Customer Balance Section 4: Internal Company Information Edge Account Rep Installation Included? YES NO Notes Thank you!
