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Tell us about yourself and your home

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Property Information
Year home was built:
Number of occupants:
My relationship to this property:
Incentive Eligibility Information
I heat my home with:
The natural gas utility I use is:
The electric utility I use is:
Contact Information
First name:
Last name:
Street Address:
Zip Code:
Email address:
Phone number:
General Information
How I heard about GreenStar:
I was referred by (if applicable):
These benefits most interest me: Lowering utility bills
Improving comfort
Improving indoor air quality
Improving home durability
Reducing my environmental impact
Improving my net worth

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