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Arnergy Registration Form
...Providing Solar subscription services to homes and businesses in Africa
Registration Type
Individual
Business
Business Sector
Select
Manufacturing
Agriculture
Legal services
Health
Information technology
Accounting
Aviation/Airlines
Government
Telecommunication
Hospitality
Construction
Food processing
Consulting
Retail sales
Franchising
Real estate
Education
Pharmaceuticals
Mass media
Healthcare/hospitals
Public health
Waste disposal
Banking
Insurance
Financial services
FMCG
Others
Type of Building
Bungalow
Duplex
One Storey Building
Two Storey Building
Others (charges apply)
Roof Type
*
Aluminium
Slate
Is the roof in good condition?
*
Yes
No
Is the house/roof ready for installation?*
*
Yes
No
Age of Roof?
1 year
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
more than 10 years
Desired Product
ARNERGY 3000
ARNERGY 5000
Payment plan
Lease to own
Energy as a service
Outright
Terms & Conditions
*
I agree
I disagree
Your Company Name
Facebook
Twitter
Linkedin
Google+
A brief intro is always great. It's Helps people to identify your company.
Address
[email protected]
800-555-0101
yoursite.com