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Preferred Contact Method: If Other, please specify
Property Type:
Relationship to Property:

Your address will help us determine if you prequalify for certain programs, grants or incentives.

Address 2


Same as Physical Address
Mailing Address
Mailing City
Mailing Zip

Same as Mailing Address
Utility Service Mailing Address
Utility Service Mailing City
Utility Service Mailing Zip

For Residential Units:
Household Income: ?

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Tell us what you interested in learning more about?:

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Is there anything else you would like to tell us?

I authorize the release of my contact and dwelling information to representatives of NYSERDA and/or its designated representatives, to any community-based organizations, and to my utilities for the purposes of enrollment into other NYSERDA programs as well as programs offered by federal, state, and/or local entities that I may be eligible for.
I Agree

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