Internal Rep Lead Submission Form

Sales Rep Information

Submitting Sales Rep

Select from dropdown

Homeowner Information

First Name *

Last Name *

Phone

Email

Best Time to Call

Opportunity Qualification

Timeline and Urgency *

Select from dropdown

Monthly Electric Bill

Lead Temperature *

Select from dropdown

Lead Source Primary *

Select from dropdown

Utility & Property Information

Utility Provider *

Select from dropdown

Address

Street Address

City

State

Postal Code

Referral Information

Referring Partner Name

Leave blank if not applicable

Notes & Additional Details

Future Electric Needs?

(i.e. future EV, adding a pool, etc.)

Lead Notes *