{"id":14945,"date":"2019-06-12T19:17:35","date_gmt":"2019-06-12T19:17:35","guid":{"rendered":"https:\/\/staging.wattsmartsavings.net\/prueba-de-correo\/"},"modified":"2025-01-22T18:15:02","modified_gmt":"2025-01-22T18:15:02","slug":"prueba-de-correo","status":"publish","type":"page","link":"https:\/\/staging.wattsmartsavings.net\/es\/prueba-de-correo\/","title":{"rendered":"prueba de correo"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00bb1&#8243; _builder_version=\u00bb3.22.3&#8243;][et_pb_row _builder_version=\u00bb3.24&#8243; disabled_on=\u00bboff|off|on\u00bb][et_pb_column type=\u00bb4_4&#8243; _builder_version=\u00bb3.24&#8243;][et_pb_text _builder_version=\u00bb3.24&#8243;]<\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f5450-o1\" lang=\"en\" dir=\"ltr\" data-wpcf7-id=\"5450\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/es\/wp-json\/wp\/v2\/pages\/14945#wpcf7-f5450-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"5450\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f5450-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div style=\"min-height: 275px; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; width: 95%; margin-bottom: 25px; overflow: hidden;\">\n\t<h1 style=\"font-size: 5vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Customer information (as shown on utility bill)\n\t<\/h1>\n\t<div style=\"float: left; width: 100%;\">\n\t\t<p><label>Bill Account Number (11 digits) <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"account-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"account-number\" \/><\/span><br \/>\n<label> First Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span><br \/>\n<label> Last Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"last-name\" \/><\/span><br \/>\n<label> Address 1 <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"address-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"address-1\" \/><\/span><br \/>\n<label> Address 2 <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"address-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"address-2\" \/><\/span><br \/>\n<label> City <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"city-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city-name\" \/><\/span><br \/>\n<label> State <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"state-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state-name\" \/><\/span><br \/>\n<label> Zip Code<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"zip-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zip-code\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"min-height: 250px; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; margin-bottom: 25px; width: 95%; overflow: hidden;\">\n\t<h1 style=\"font-size: 5vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Contact information\n\t<\/h1>\n\t<div style=\"float: left; width: 100%;\">\n\t\t<p><label> First Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contact-first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contact-first-name\" \/><\/span><br \/>\n<label> Last Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contact-last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contact-last-name\" \/><\/span><br \/>\n<label> Email Address <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email-address\" \/><\/span><br \/>\n<label> Confirm Email <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"confirm-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"confirm-email\" \/><\/span><br \/>\n<label> Phone Number <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phone-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"phone-number\" \/><\/span><br \/>\n<label> Is customer's primary language other than English?<span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"primary-language\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"primary-language\" value=\"Yes\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"primary-language\" value=\"No\" \/><\/label><\/span><\/span><\/span><br \/>\n<label> Is your household eligible for California Alternative Rates for Energy (CARE)?<span style=\"color: red;\">*<\/span> <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"household-eligible\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"household-eligible\" value=\"Yes\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"household-eligible\" value=\"No\" \/><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"min-height: 370px; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; margin-bottom: 25px; width: 95%; overflow: hidden;\">\n\t<h1 style=\"font-size: 5vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Site information\n\t<\/h1>\n\t<div style=\"float: left; width: 100%;\">\n\t\t<p><label> Dryer Heat Fuel <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"dryer-heat-fuel\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"dryer-heat-fuel\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Electric\">Electric<\/option><option value=\"I do not own\/use a dryer\">I do not own\/use a dryer<\/option><option value=\"Natural Gas\">Natural Gas<\/option><option value=\"Other\">Other<\/option><\/select><\/span>\n\t\t<\/p>\n\t\t<p><label> Water Heat Fuel <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"water-heat-fuel\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"water-heat-fuel\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Electric\">Electric<\/option><option value=\"Other\">Other<\/option><option value=\"Natural Gas\">Natural Gas<\/option><option value=\"Propane\">Propane<\/option><\/select><\/span>\n\t\t<\/p>\n\t\t<p><label> Primary Heat Fuel <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"primary-heat-fuel\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"primary-heat-fuel\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Electric\">Electric<\/option><option value=\"Other\">Other<\/option><option value=\"N\/A\">N\/A<\/option><option value=\"Natural Gas\">Natural Gas<\/option><option value=\"Wood\">Wood<\/option><\/select><\/span>\n\t\t<\/p>\n\t\t<p><label> Cooling Type <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cooling-type\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"cooling-type\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Heat Pump\">Heat Pump<\/option><option value=\"Electric Heat Pump\">Electric Heat Pump<\/option><option value=\"None\">None<\/option><option value=\"CAC\">CAC<\/option><option value=\"Electric\">Electric<\/option><option value=\"Evaporative Cooler\">Evaporative Cooler<\/option><option value=\"Other\">Other<\/option><option value=\"N\/A\">N\/A<\/option><\/select><\/span>\n\t\t<\/p>\n\t\t<p><label> Percent Cooled <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"percent-cooled\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"percent-cooled\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"100\">100<\/option><option value=\"80\">80<\/option><option value=\"95\">95<\/option><\/select><\/span>\n\t\t<\/p>\n\t\t<p><label> Home Size <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"home-size\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"home-size\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> Home Type <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"home-type\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"home-type\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Single-Family\">Single-Family<\/option><option value=\"Multi-Family\">Multi-Family<\/option><option value=\"Manufactured Home\">Manufactured Home<\/option><\/select><\/span>\n\t\t<\/p>\n\t\t<p><label> Year Built <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"year-build\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"year-build\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> Do you rent\/lease the location where the product(s) were installed?<span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"rent-lease\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"rent-lease\" value=\"Yes\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"rent-lease\" value=\"No\" \/><\/label><\/span><\/span><\/span><br \/>\n<label> Are you the property manager? <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"property-manager\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"property-manager\" value=\"Yes\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"property-manager\" value=\"No\" \/><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"width: 95%; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; margin-bottom: 25px; min-height: 160px; overflow: hidden;\">\n\t<h1 style=\"font-size: 5vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Receipt information\n\t<\/h1>\n\t<div style=\"float: left; width: 100%;\">\n\t\t<p><label> Purchase Date\/Receipt Date <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"purchase-date\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"purchase-date\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> Purchase Price\/Install Cost <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"purchase-price\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"purchase-price\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> Upload electric copy of receipt: <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"receipt-copy\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\"audio\/*,video\/*,image\/*\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"receipt-copy\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> Additional Attachments: <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"attachment-extra\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"attachment-extra\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"attachment-extra-extra\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"attachment-extra-extra\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"width: 95%; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; margin-bottom: 25px; min-height: 275px; overflow: hidden;\">\n\t<h1 style=\"font-size: 5vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Product information\n\t<\/h1>\n\t<div style=\"float: left; width: 100%;\">\n\t\t<p><label> Quantity <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"quantity-amount\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"quantity-amount\" \/><\/span><br \/>\n<label> Manufacturer <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"manufacturer-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"manufacturer-name\" \/><\/span><br \/>\n<label> Model Number <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"model-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"model-number\" \/><\/span><br \/>\n<label> Serial Number <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"serial-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"serial-number\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> Where product was purchased: <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"purchase-location\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"purchase-location\" value=\"Online purchase\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Online purchase<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"purchase-location\" value=\"Purchased at physical retailer store\" \/><span class=\"wpcf7-list-item-label\">Purchased at physical retailer store<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"purchase-location\" value=\"Vendor\/contractor supplied\" \/><span class=\"wpcf7-list-item-label\">Vendor\/contractor supplied<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t\t<p><label> Retailer Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"retailer-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"retailer-name\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"min-height: 250px; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; margin-bottom: 25px; width: 95%; overflow: hidden;\">\n\t<h1 style=\"font-size: 5vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Payee - Customer\n\t<\/h1>\n\t<div style=\"float: left; width: 100%;\">\n\t\t<p><label> Same as contact info: <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"same-info\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"same-info\" value=\"Yes\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"same-info\" value=\"No\" \/><\/label><\/span><\/span><\/span><br \/>\n<label> First Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payee-first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"payee-first-name\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> Model Number <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payee-last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"payee-last-name\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> Address <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payee-address-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"payee-address-1\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> City <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payee-city-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"payee-city-name\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> State<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payee-state-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"payee-state-name\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> Zip Code<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payee-zip-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"payee-zip-code\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"width: 95%; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; margin-bottom: 25px; min-height: 205px; overflow: hidden;\">\n\t<h1 style=\"font-size: 5vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Payee - Contractor\n\t<\/h1>\n\t<div style=\"float: left; width: 100%;\">\n\t\t<p><label> Company Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"company-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"company-name\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> Address <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contractor-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contractor-address\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> City <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contractor-city-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contractor-city-name\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> State <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contractor-state-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contractor-state-name\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> Zip Code <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contractor-zip-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contractor-zip-code\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 10px; margin-top: 20px; display: flex; justify-content: center; width: 95%;\">\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner submit-button\" type=\"submit\" value=\"Submit\" \/>\n\t<\/p>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"106\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00bb3.24&#8243; disabled_on=\u00bbon|on|off\u00bb][et_pb_column type=\u00bb4_4&#8243; _builder_version=\u00bb3.24&#8243;][et_pb_text _builder_version=\u00bb3.24&#8243;]<\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f4026-o2\" lang=\"en\" dir=\"ltr\" data-wpcf7-id=\"4026\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/es\/wp-json\/wp\/v2\/pages\/14945#wpcf7-f4026-o2\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"4026\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f4026-o2\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div style=\"min-height: 275px; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; width: 95%; margin-bottom: 25px; overflow: hidden;\">\n\t<h1 style=\"font-size: 2vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Customer information (as shown on utility bill)\n\t<\/h1>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><label>Bill Account Number (11 digits) <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> First Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Last Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Address 1 <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Address 2 <\/label><br \/>\n<label> City <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> State <\/label><br \/>\n<label> Zip Code<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"account-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"account-number\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"last-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"address-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"address-1\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"address-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"address-2\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"city-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"state-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"zip-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zip-code\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"min-height: 250px; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; margin-bottom: 25px; width: 95%; overflow: hidden;\">\n\t<h1 style=\"font-size: 2vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Contact information\n\t<\/h1>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><label> First Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Last Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Email Address <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Confirm Email <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Phone Number <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Is customer's primary language other than English?<span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"primary-language\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"primary-language\" value=\"Yes\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"primary-language\" value=\"No\" \/><\/label><\/span><\/span><\/span><br \/>\n<label> Is your household eligible for California Alternative Rates for Energy (CARE)?<span style=\"color: red;\">*<\/span> <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"household-eligible\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"household-eligible\" value=\"Yes\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"household-eligible\" value=\"No\" \/><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"contact-first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contact-first-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contact-last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contact-last-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email-address\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"confirm-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"confirm-email\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phone-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"phone-number\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"min-height: 370px; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; margin-bottom: 25px; width: 95%; overflow: hidden;\">\n\t<h1 style=\"font-size: 2vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Site information\n\t<\/h1>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><label> Dryer Heat Fuel <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Water Heat Fuel <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Primary Heat Fuel <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Cooling Type <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Percent Cooled <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Home Size <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Home Type <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Year Built <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Do you rent\/lease the location where the product(s) were installed?<span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"rent-lease\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"rent-lease\" value=\"Yes\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"rent-lease\" value=\"No\" \/><\/label><\/span><\/span><\/span><br \/>\n<label> Are you the property manager? <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"property-manager\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"property-manager\" value=\"Yes\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"property-manager\" value=\"No\" \/><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dryer-heat-fuel\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"dryer-heat-fuel\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Electric\">Electric<\/option><option value=\"I do not own\/use a dryer\">I do not own\/use a dryer<\/option><option value=\"Natural Gas\">Natural Gas<\/option><option value=\"Other\">Other<\/option><\/select><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"water-heat-fuel\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"water-heat-fuel\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Electric\">Electric<\/option><option value=\"Other\">Other<\/option><option value=\"Natural Gas\">Natural Gas<\/option><option value=\"Propane\">Propane<\/option><\/select><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"primary-heat-fuel\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"primary-heat-fuel\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Electric\">Electric<\/option><option value=\"Other\">Other<\/option><option value=\"N\/A\">N\/A<\/option><option value=\"Natural Gas\">Natural Gas<\/option><option value=\"Wood\">Wood<\/option><\/select><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cooling-type\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"cooling-type\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Heat Pump\">Heat Pump<\/option><option value=\"Electric Heat Pump\">Electric Heat Pump<\/option><option value=\"None\">None<\/option><option value=\"CAC\">CAC<\/option><option value=\"Electric\">Electric<\/option><option value=\"Evaporative Cooler\">Evaporative Cooler<\/option><option value=\"Other\">Other<\/option><option value=\"N\/A\">N\/A<\/option><\/select><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"percent-cooled\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"percent-cooled\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"100\">100<\/option><option value=\"80\">80<\/option><option value=\"95\">95<\/option><\/select><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"home-size\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"home-size\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"home-type\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"home-type\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Single-Family\">Single-Family<\/option><option value=\"Multi-Family\">Multi-Family<\/option><option value=\"Manufactured Home\">Manufactured Home<\/option><\/select><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"year-build\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"year-build\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"width: 95%; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; margin-bottom: 25px; min-height: 160px; overflow: hidden;\">\n\t<h1 style=\"font-size: 2vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Receipt information\n\t<\/h1>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><label> Purchase Date\/Receipt Date <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Purchase Price\/Install Cost <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Upload electric copy of receipt: <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Additional Attachments: <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"purchase-date\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"purchase-date\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"purchase-price\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"purchase-price\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"receipt-copy\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\"audio\/*,video\/*,image\/*\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"receipt-copy\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"attachment-extra\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"attachment-extra\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"attachment-extra-extra\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"attachment-extra-extra\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"width: 95%; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; margin-bottom: 25px; min-height: 275px; overflow: hidden;\">\n\t<h1 style=\"font-size: 2vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Product information\n\t<\/h1>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><label> Quantity <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Manufacturer <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Model Number <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Serial Number <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Where product was purchased: <span style=\"color: red;\">*<\/span><\/label>\n\t\t<\/p>\n\t\t<p><label> Retailer Name <span style=\"color: red;\">*<\/span><\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"quantity-amount\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"quantity-amount\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"manufacturer-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"manufacturer-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"model-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"model-number\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"serial-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"serial-number\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"purchase-location\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"purchase-location\" value=\"Online purchase\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Online purchase<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"purchase-location\" value=\"Purchased at physical retailer store\" \/><span class=\"wpcf7-list-item-label\">Purchased at physical retailer store<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"purchase-location\" value=\"Vendor\/contractor supplied\" \/><span class=\"wpcf7-list-item-label\">Vendor\/contractor supplied<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"retailer-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"retailer-name\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"min-height: 250px; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; margin-bottom: 25px; width: 95%; overflow: hidden;\">\n\t<h1 style=\"font-size: 2vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Payee - Customer\n\t<\/h1>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><label> Same as contact info: <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> First Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Model Number <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Address <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> City <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> State<\/label><br \/>\n<label> Zip Code<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"same-info\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"same-info\" value=\"Yes\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"same-info\" value=\"No\" \/><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payee-first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"payee-first-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payee-last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"payee-last-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payee-address-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"payee-address-1\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payee-city-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"payee-city-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payee-state-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"payee-state-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payee-zip-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"payee-zip-code\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"width: 95%; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; margin-bottom: 25px; min-height: 205px; overflow: hidden;\">\n\t<h1 style=\"font-size: 2vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Payee - Contractor\n\t<\/h1>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><label> Company Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Address <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> City <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> State <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Zip Code <span style=\"color: red;\">*<\/span><\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"company-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"company-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contractor-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contractor-address\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contractor-city-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contractor-city-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contractor-state-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contractor-state-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contractor-zip-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contractor-zip-code\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 10px; margin-top: 20px; display: flex; justify-content: center; width: 95%;\">\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner submit-button\" type=\"submit\" value=\"Submit\" \/>\n\t<\/p>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_2\" name=\"_wpcf7_ak_js\" value=\"229\"\/><script>document.getElementById( \"ak_js_2\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f5450-o3\" lang=\"en\" dir=\"ltr\" data-wpcf7-id=\"5450\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/es\/wp-json\/wp\/v2\/pages\/14945#wpcf7-f5450-o3\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"5450\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f5450-o3\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div style=\"min-height: 275px; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; width: 95%; margin-bottom: 25px; overflow: hidden;\">\n\t<h1 style=\"font-size: 5vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Customer information (as shown on utility bill)\n\t<\/h1>\n\t<div style=\"float: left; width: 100%;\">\n\t\t<p><label>Bill Account Number (11 digits) <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"account-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"account-number\" \/><\/span><br \/>\n<label> First Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span><br \/>\n<label> Last Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"last-name\" \/><\/span><br \/>\n<label> Address 1 <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"address-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"address-1\" \/><\/span><br \/>\n<label> Address 2 <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"address-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"address-2\" \/><\/span><br \/>\n<label> City <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"city-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city-name\" \/><\/span><br \/>\n<label> State <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"state-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state-name\" \/><\/span><br \/>\n<label> Zip Code<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"zip-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zip-code\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"min-height: 250px; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; margin-bottom: 25px; width: 95%; overflow: hidden;\">\n\t<h1 style=\"font-size: 5vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Contact information\n\t<\/h1>\n\t<div style=\"float: left; width: 100%;\">\n\t\t<p><label> First Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contact-first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contact-first-name\" \/><\/span><br \/>\n<label> Last Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contact-last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contact-last-name\" \/><\/span><br \/>\n<label> Email Address <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email-address\" \/><\/span><br \/>\n<label> Confirm Email <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"confirm-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"confirm-email\" \/><\/span><br \/>\n<label> Phone Number <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phone-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"phone-number\" \/><\/span><br \/>\n<label> Is customer's primary language other than English?<span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"primary-language\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"primary-language\" value=\"Yes\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"primary-language\" value=\"No\" \/><\/label><\/span><\/span><\/span><br \/>\n<label> Is your household eligible for California Alternative Rates for Energy (CARE)?<span style=\"color: red;\">*<\/span> <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"household-eligible\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"household-eligible\" value=\"Yes\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"household-eligible\" value=\"No\" \/><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"min-height: 370px; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; margin-bottom: 25px; width: 95%; overflow: hidden;\">\n\t<h1 style=\"font-size: 5vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Site information\n\t<\/h1>\n\t<div style=\"float: left; width: 100%;\">\n\t\t<p><label> Dryer Heat Fuel <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"dryer-heat-fuel\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"dryer-heat-fuel\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Electric\">Electric<\/option><option value=\"I do not own\/use a dryer\">I do not own\/use a dryer<\/option><option value=\"Natural Gas\">Natural Gas<\/option><option value=\"Other\">Other<\/option><\/select><\/span>\n\t\t<\/p>\n\t\t<p><label> Water Heat Fuel <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"water-heat-fuel\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"water-heat-fuel\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Electric\">Electric<\/option><option value=\"Other\">Other<\/option><option value=\"Natural Gas\">Natural Gas<\/option><option value=\"Propane\">Propane<\/option><\/select><\/span>\n\t\t<\/p>\n\t\t<p><label> Primary Heat Fuel <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"primary-heat-fuel\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"primary-heat-fuel\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Electric\">Electric<\/option><option value=\"Other\">Other<\/option><option value=\"N\/A\">N\/A<\/option><option value=\"Natural Gas\">Natural Gas<\/option><option value=\"Wood\">Wood<\/option><\/select><\/span>\n\t\t<\/p>\n\t\t<p><label> Cooling Type <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cooling-type\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"cooling-type\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Heat Pump\">Heat Pump<\/option><option value=\"Electric Heat Pump\">Electric Heat Pump<\/option><option value=\"None\">None<\/option><option value=\"CAC\">CAC<\/option><option value=\"Electric\">Electric<\/option><option value=\"Evaporative Cooler\">Evaporative Cooler<\/option><option value=\"Other\">Other<\/option><option value=\"N\/A\">N\/A<\/option><\/select><\/span>\n\t\t<\/p>\n\t\t<p><label> Percent Cooled <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"percent-cooled\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"percent-cooled\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"100\">100<\/option><option value=\"80\">80<\/option><option value=\"95\">95<\/option><\/select><\/span>\n\t\t<\/p>\n\t\t<p><label> Home Size <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"home-size\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"home-size\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> Home Type <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"home-type\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"home-type\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Single-Family\">Single-Family<\/option><option value=\"Multi-Family\">Multi-Family<\/option><option value=\"Manufactured Home\">Manufactured Home<\/option><\/select><\/span>\n\t\t<\/p>\n\t\t<p><label> Year Built <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"year-build\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"year-build\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> Do you rent\/lease the location where the product(s) were installed?<span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"rent-lease\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"rent-lease\" value=\"Yes\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"rent-lease\" value=\"No\" \/><\/label><\/span><\/span><\/span><br \/>\n<label> Are you the property manager? <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"property-manager\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"property-manager\" value=\"Yes\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"property-manager\" value=\"No\" \/><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"width: 95%; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; margin-bottom: 25px; min-height: 160px; overflow: hidden;\">\n\t<h1 style=\"font-size: 5vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Receipt information\n\t<\/h1>\n\t<div style=\"float: left; width: 100%;\">\n\t\t<p><label> Purchase Date\/Receipt Date <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"purchase-date\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"purchase-date\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> Purchase Price\/Install Cost <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"purchase-price\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"purchase-price\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> Upload electric copy of receipt: <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"receipt-copy\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\"audio\/*,video\/*,image\/*\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"receipt-copy\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> Additional Attachments: <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"attachment-extra\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"attachment-extra\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"attachment-extra-extra\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"attachment-extra-extra\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"width: 95%; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; margin-bottom: 25px; min-height: 275px; overflow: hidden;\">\n\t<h1 style=\"font-size: 5vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Product information\n\t<\/h1>\n\t<div style=\"float: left; width: 100%;\">\n\t\t<p><label> Quantity <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"quantity-amount\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"quantity-amount\" \/><\/span><br \/>\n<label> Manufacturer <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"manufacturer-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"manufacturer-name\" \/><\/span><br \/>\n<label> Model Number <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"model-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"model-number\" \/><\/span><br \/>\n<label> Serial Number <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"serial-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"serial-number\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> Where product was purchased: <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"purchase-location\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"purchase-location\" value=\"Online purchase\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Online purchase<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"purchase-location\" value=\"Purchased at physical retailer store\" \/><span class=\"wpcf7-list-item-label\">Purchased at physical retailer store<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"purchase-location\" value=\"Vendor\/contractor supplied\" \/><span class=\"wpcf7-list-item-label\">Vendor\/contractor supplied<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t\t<p><label> Retailer Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"retailer-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"retailer-name\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"min-height: 250px; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; margin-bottom: 25px; width: 95%; overflow: hidden;\">\n\t<h1 style=\"font-size: 5vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Payee - Customer\n\t<\/h1>\n\t<div style=\"float: left; width: 100%;\">\n\t\t<p><label> Same as contact info: <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"same-info\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"same-info\" value=\"Yes\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"same-info\" value=\"No\" \/><\/label><\/span><\/span><\/span><br \/>\n<label> First Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payee-first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"payee-first-name\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> Model Number <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payee-last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"payee-last-name\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> Address <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payee-address-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"payee-address-1\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> City <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payee-city-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"payee-city-name\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> State<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payee-state-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"payee-state-name\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> Zip Code<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payee-zip-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"payee-zip-code\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"width: 95%; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; margin-bottom: 25px; min-height: 205px; overflow: hidden;\">\n\t<h1 style=\"font-size: 5vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Payee - Contractor\n\t<\/h1>\n\t<div style=\"float: left; width: 100%;\">\n\t\t<p><label> Company Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"company-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"company-name\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> Address <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contractor-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contractor-address\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> City <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contractor-city-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contractor-city-name\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> State <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contractor-state-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contractor-state-name\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label> Zip Code <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contractor-zip-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contractor-zip-code\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 10px; margin-top: 20px; display: flex; justify-content: center; width: 95%;\">\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner submit-button\" type=\"submit\" value=\"Submit\" \/>\n\t<\/p>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_3\" name=\"_wpcf7_ak_js\" value=\"242\"\/><script>document.getElementById( \"ak_js_3\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f4026-o4\" lang=\"en\" dir=\"ltr\" data-wpcf7-id=\"4026\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/es\/wp-json\/wp\/v2\/pages\/14945#wpcf7-f4026-o4\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"4026\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f4026-o4\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div style=\"min-height: 275px; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; width: 95%; margin-bottom: 25px; overflow: hidden;\">\n\t<h1 style=\"font-size: 2vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Customer information (as shown on utility bill)\n\t<\/h1>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><label>Bill Account Number (11 digits) <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> First Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Last Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Address 1 <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Address 2 <\/label><br \/>\n<label> City <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> State <\/label><br \/>\n<label> Zip Code<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"account-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"account-number\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"last-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"address-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"address-1\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"address-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"address-2\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"city-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"state-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"zip-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zip-code\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"min-height: 250px; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; margin-bottom: 25px; width: 95%; overflow: hidden;\">\n\t<h1 style=\"font-size: 2vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Contact information\n\t<\/h1>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><label> First Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Last Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Email Address <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Confirm Email <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Phone Number <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Is customer's primary language other than English?<span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"primary-language\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"primary-language\" value=\"Yes\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"primary-language\" value=\"No\" \/><\/label><\/span><\/span><\/span><br \/>\n<label> Is your household eligible for California Alternative Rates for Energy (CARE)?<span style=\"color: red;\">*<\/span> <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"household-eligible\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"household-eligible\" value=\"Yes\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"household-eligible\" value=\"No\" \/><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"contact-first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contact-first-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contact-last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contact-last-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email-address\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"confirm-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"confirm-email\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phone-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"phone-number\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"min-height: 370px; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; margin-bottom: 25px; width: 95%; overflow: hidden;\">\n\t<h1 style=\"font-size: 2vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Site information\n\t<\/h1>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><label> Dryer Heat Fuel <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Water Heat Fuel <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Primary Heat Fuel <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Cooling Type <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Percent Cooled <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Home Size <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Home Type <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Year Built <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Do you rent\/lease the location where the product(s) were installed?<span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"rent-lease\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"rent-lease\" value=\"Yes\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"rent-lease\" value=\"No\" \/><\/label><\/span><\/span><\/span><br \/>\n<label> Are you the property manager? <span style=\"color: red;\">*<\/span><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"property-manager\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"property-manager\" value=\"Yes\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"property-manager\" value=\"No\" \/><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dryer-heat-fuel\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"dryer-heat-fuel\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Electric\">Electric<\/option><option value=\"I do not own\/use a dryer\">I do not own\/use a dryer<\/option><option value=\"Natural Gas\">Natural Gas<\/option><option value=\"Other\">Other<\/option><\/select><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"water-heat-fuel\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"water-heat-fuel\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Electric\">Electric<\/option><option value=\"Other\">Other<\/option><option value=\"Natural Gas\">Natural Gas<\/option><option value=\"Propane\">Propane<\/option><\/select><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"primary-heat-fuel\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"primary-heat-fuel\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Electric\">Electric<\/option><option value=\"Other\">Other<\/option><option value=\"N\/A\">N\/A<\/option><option value=\"Natural Gas\">Natural Gas<\/option><option value=\"Wood\">Wood<\/option><\/select><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cooling-type\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"cooling-type\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Heat Pump\">Heat Pump<\/option><option value=\"Electric Heat Pump\">Electric Heat Pump<\/option><option value=\"None\">None<\/option><option value=\"CAC\">CAC<\/option><option value=\"Electric\">Electric<\/option><option value=\"Evaporative Cooler\">Evaporative Cooler<\/option><option value=\"Other\">Other<\/option><option value=\"N\/A\">N\/A<\/option><\/select><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"percent-cooled\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"percent-cooled\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"100\">100<\/option><option value=\"80\">80<\/option><option value=\"95\">95<\/option><\/select><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"home-size\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"home-size\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"home-type\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"home-type\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Single-Family\">Single-Family<\/option><option value=\"Multi-Family\">Multi-Family<\/option><option value=\"Manufactured Home\">Manufactured Home<\/option><\/select><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"year-build\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"year-build\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"width: 95%; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; margin-bottom: 25px; min-height: 160px; overflow: hidden;\">\n\t<h1 style=\"font-size: 2vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Receipt information\n\t<\/h1>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><label> Purchase Date\/Receipt Date <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Purchase Price\/Install Cost <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Upload electric copy of receipt: <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Additional Attachments: <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"purchase-date\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"purchase-date\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"purchase-price\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"purchase-price\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"receipt-copy\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\"audio\/*,video\/*,image\/*\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"receipt-copy\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"attachment-extra\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"attachment-extra\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"attachment-extra-extra\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"attachment-extra-extra\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"width: 95%; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; margin-bottom: 25px; min-height: 275px; overflow: hidden;\">\n\t<h1 style=\"font-size: 2vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Product information\n\t<\/h1>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><label> Quantity <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Manufacturer <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Model Number <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Serial Number <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Where product was purchased: <span style=\"color: red;\">*<\/span><\/label>\n\t\t<\/p>\n\t\t<p><label> Retailer Name <span style=\"color: red;\">*<\/span><\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"quantity-amount\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"quantity-amount\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"manufacturer-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"manufacturer-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"model-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"model-number\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"serial-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"serial-number\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"purchase-location\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"purchase-location\" value=\"Online purchase\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Online purchase<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"purchase-location\" value=\"Purchased at physical retailer store\" \/><span class=\"wpcf7-list-item-label\">Purchased at physical retailer store<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"purchase-location\" value=\"Vendor\/contractor supplied\" \/><span class=\"wpcf7-list-item-label\">Vendor\/contractor supplied<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"retailer-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"retailer-name\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"min-height: 250px; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; margin-bottom: 25px; width: 95%; overflow: hidden;\">\n\t<h1 style=\"font-size: 2vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Payee - Customer\n\t<\/h1>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><label> Same as contact info: <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> First Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Model Number <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Address <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> City <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> State<\/label><br \/>\n<label> Zip Code<\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"same-info\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"radio\" name=\"same-info\" value=\"Yes\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"radio\" name=\"same-info\" value=\"No\" \/><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payee-first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"payee-first-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payee-last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"payee-last-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payee-address-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"payee-address-1\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payee-city-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"payee-city-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payee-state-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"payee-state-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"payee-zip-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"payee-zip-code\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"width: 95%; background-color: white; box-shadow: 5px 5px 15px #cdcdcd; padding: 25px; margin-bottom: 25px; min-height: 205px; overflow: hidden;\">\n\t<h1 style=\"font-size: 2vw; border-bottom: 1px solid #cdcdcd; margin-bottom: 10px;\">Payee - Contractor\n\t<\/h1>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><label> Company Name <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Address <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> City <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> State <span style=\"color: red;\">*<\/span><\/label><br \/>\n<label> Zip Code <span style=\"color: red;\">*<\/span><\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"float: left; width: 50%;\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"company-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"company-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contractor-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contractor-address\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contractor-city-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contractor-city-name\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contractor-state-name\"><input 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aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/p>\n","protected":false},"author":13,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"class_list":["post-14945","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/staging.wattsmartsavings.net\/es\/wp-json\/wp\/v2\/pages\/14945","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/staging.wattsmartsavings.net\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/staging.wattsmartsavings.net\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/staging.wattsmartsavings.net\/es\/wp-json\/wp\/v2\/users\/13"}],"replies":[{"embeddable":true,"href":"https:\/\/staging.wattsmartsavings.net\/es\/wp-json\/wp\/v2\/comments?post=14945"}],"version-history":[{"count":2,"href":"https:\/\/staging.wattsmartsavings.net\/es\/wp-json\/wp\/v2\/pages\/14945\/revisions"}],"predecessor-version":[{"id":15063,"href":"https:\/\/staging.wattsmartsavings.net\/es\/wp-json\/wp\/v2\/pages\/14945\/revisions\/15063"}],"wp:attachment":[{"href":"https:\/\/staging.wattsmartsavings.net\/es\/wp-json\/wp\/v2\/media?parent=14945"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}