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i I � <br /> � - _ �n�\ ��� <br /> I 686. � <br /> ����� � FARE <br /> �� � �-�PA Angie°s list, <br /> �� OLAR SOURCE� TheC/eanEne�gyLeader, since 1984 <br /> 7�he Sol�.r Fx�,�er's��'���1 ��1, ��, r , <br /> '�� � � '���° � <br /> Name � �.� ` t <br /> Home Phone Date ' <br /> ! � � � �j � <br /> Stree�� � ' Cell Phone ep <br /> '� ' � � ' P�? <br /> Cit t.Zip Work Phone Source <br /> '� � �ti 1� t s �l 3� �, �� -� ��w <br /> Email Address S ivision ame Gate Code <br /> �,.i��} � „� W� ' /� ` / � <br /> • -�• <br /> Collector(s)Brand System Total Sq.Ft. So/l9ar Controyl Type Ft. to feed House I�I ❑2 Story <br /> � +� � i r1 [� J 1�Q1,. r� <br /> Number � Size 1� 1 <br /> �e�v �.-l � V v NEW Existing O u't✓ Other �� <br /> Heat Pump/Gas Heater Pool Size Roof Type, <br /> Number Size �J[�y ingie <br /> Pool Cover O YES O Pump Upgrade Brand &Size �U �a�rel Tile <br /> POOL SIZE X Pool Shape O YES O Flat Tile <br /> Spa Cover Reel p YES p NO Size O Rolled <br /> M/SC.• <br /> O YES O Size Wheels p YES O NO O Trench O Metal O Use S-5's <br /> Additional Information O Roots Other <br /> � ;JA�-�6'(�,i, � `� `� � ' O Sidewalk / <br /> �11 v � ��,] O Manual Drain HEATER <br /> p� �-'�aint Pipes $„j � <br /> �� ���l�L �L �i��y..) rJ ��� /�,���' ��('J�'k' "� O ther CONTROL� C�° <br /> � �� ���- r�c��r��.. $ �l� �-- sr��. <br /> C��JC� " C �' I'� fb �� LCad✓J /y44 r� VS PUMP <br /> .r ' $ <br /> Nurt� � ✓ Type p Flush A�ount p Turbine Retrofit SNlART1/ENT <br /> SMARTVENT ATTIC FAN(S) O Curb Mount O Other $ <br /> Sj+stem Sketch � / <br /> �"k��•J V�� SUBTOTAL $ l - 1 �`� <br /> � � <br /> �, i�, �,�,�,� $ r� <br /> - � �� DISC�VER'I � <br /> ,/ �l4,� DEPOSIT $ <br /> •� .,,. <br /> .�, �-. - ...- � 1 <br /> � '�°�'Y r �, BALANCE $� ( <br /> r � i � j _ -�. ��.����' � <br /> ,� a _�1 PAYMENT TO BE MADE AS FOLLOWS: <br /> ��� �� AMOUNT FINANCED $ <br /> J <br /> Q�8 ���'� �Ir�' APPLIED T EDIT CARD $ <br /> ��°���' �; ,t�j�..� ���A:�s��� Card No. <br /> ��I� EXP: <br /> ��o_ �i„�,�;, f..��,�v CODE: Billing Zip <br /> Indicate 5outh <br /> IMPORTANT NOTICE: Buyer has the right to cancel this transaction at any time prior to midnight of the third business day afte r the date of <br /> this contract. By signing this agreement the buyer hereby acknowledges receipt of and agreement with the Statement of Policies, Terms <br /> and Condition on th reverse side or attached and agrees to make payment as outlined. <br /> + �� <br /> /��r� <br /> us omer ignature Customer Signature Date <br /> Solar Source Mgmt Auth <br /> 10840 Endeavour Way Largo, FL. 33777 1-800-329-1301 Fax 727-544-2763 CVC056646 CGC1520734 EC13005129 <br />