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* 1. Please enter the name of your house of worship

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* 2. Please enter the full address of your house of worship

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* 3. Please enter a contact name for your house of worship

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* 4. Please enter an e-mail for the contact that you listed

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* 5. Please enter a telephone number for the contact that you listed

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* 6. Please enter an estimate of your house of worship's annual power consumption (in kWh)

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