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Site Home   >  Energy-Efficiency Projects Home   >  Supplier Financing Inquiry
 

For your convenience, this online application is provided in order to expedite the processing of your request. Please be as specific as possible in completing this form and when finished select the "Submit" button below.

You will receive a response, subject to final credit approval, within 48 hours via your specified preference, e-mail or fax.

 

Energy Equipment Supplier Information:

 
 

Municipal Customer Organization Type :

Your Name :

Company Name :

Your E-Mail Address :

State :

Phone Number :

Fax Number :

 (Optional)

If we have questions, how would you prefer to be contacted?


E-mail Phone

Energy Project Summary Information:
 
Customer Type and Location:
 

 Municipal Customer Organization Type :

Customer Name :

Customer City :

Customer State :
 
Project Description :
 

Please briefly describe the project - the nature of the energy improvements to be made, and any economic or budgetary benefits that will be achieved, and the project's importance relative to your organization's operation. 
 
   
Financing Information:
   

Desired Financing Product :
Product Descriptions

 Tax-Exempt Lease Purchase Agreement
Non-Tax-Exempt Lease Purchase Agreement
Finance ($1) Lease
   

Equipment Cost $ :

 (Up to 100% of Cost)

Finance Amount $ :

Desired Term of Financing :

 Year(s) Month(s)

Payment Frequency :

 

  
  Project Schedule:

Tentative Final Installation Date, or
Tentative Project Start Date :
 calander or mm/dd/yyyy
   

Tentative Project Completion Date :

  calander or mm/dd/yyyy

Funding will occur :

 Upon Final Installation of equipment
Into Escrow, in advance of project commencement
   
COMMENTS:
 

   
                             
 
 
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