Energy Efficiency Program SignUp

Contact Information

Sign up here for more information on Co-op Power's Energy Efficiency Services. We'll help you reduce your energy use and replace your fossil fuel use with renewables.

Co-op Power is a consumer-owned energy cooperative dedicated to building a just and sustainable future in New England and New York. So far we have communities in Western Massachusetts, Southern Vermont, and Boston signed up as part of our decentralized network. If you're in one of those regions, please complete as much of this survey as you'd like and we'll help you upgrade your home. You can also just call us if you'd rather not do an online survey! 877-266-7543.

If you're in New England or New York and would like to bring Co-op Power to your community, check out our website www.cooppower.coop for information about how to get started.

Question Title

* 1. Please provide the following information. Feel free to skip any questions that are too hard to answer. (This is the information we need to access utility records to find out what free services, discounts and loans the utilities can provide for your home.)

Name:

Property Address:

City/Town:

State:

Zip:

Billing Address (if different from property address):

Day Phone Number:

Evening Phone Number:

Email Address:

Electric Provider:

Electric Account #:

Natural Gas Provider:

Natural Gas Account #:

Primary Heating Fuel:

Type of Heating System:

Primary Domestic Hot Water Fuel:

Year home was built:

Style of house:

Do you qualify for fuel assistance?

Reason you're interested in energy efficiency?

How did you hear about the program?

Have you had an Energy Audit within the last year?

Is your basement wet?

Do you have knob & tube wiring?

Do you have asbestos or vermiculite?

Is your home insulated?

Are you interested in a Solar Hot Water System?

Question Title

* 2. How do you prefer to be contacted?

day phone

evening phone

other