Facility Energy Assessment

Facility Energy Assessment

READ THIS FIRST!
The only information we need is your name and phone # or email address. The rest of the form is optional and does not need to be filled out at this time.

We appreciate your time and look forward to talking to you about more ways to save energy.

Contact Name	Title
Company Name	Address
City	State	Zip
Phone	E-mail
Project/Facility Name
Electric Utility Company	Electric Rate ($/kwh)
Type of Facility (Warehouse, Commercial Office, Production, etc);
What is the expected Project Design Turnaround?
Explain what inefficiencies that you know exist in each area and what your priorities and goals are for energy upgrades. Lighting:
Transformers:
Power Distribution:
AC Motors:
Variable Frequency Drives:
Measurement/Metering:
Energy Efficient Devices:
Data Centers:
Other:
User goals for this energy retrofit project:
Other Comments: