Case Study Submission Form

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Project information
First Name *		Last Name *
Organization *must be a business member to get company recognition.
Email Address
Phone Area Code		Phone
Both Commercial and Residential Projects are encouraged.
Property Address *
City *		Location
Neighborhood
Property Owner *		Sq footage *
Project Objective (100 word max) * *
Certifications awarded the property
This property is a: *	Multi Family Residence Commercial Property Single Family Residence
Building Use/TypeFor Commercial Building Only (examples: retail/industrial/office/ etc)
I have the building owner's permission to post this property and submit pictures *	yes no
Picture of the Property or images of project in action *
Detailed Building Data:
The more detailed your data the better case study we can create on your behalf.
Equip Upgrade-Old Equip		Equip Upgrade-New Equip
Systems Upgrade
Lighting upgrade-old		Lighting upgrade-new
Energy Information. Esp HERS Rating
Prior Annual kWh		Prior Annual therms
Prior Annual Total Enegy Use (kWh)		Prior Annual Energy Costs
Post Annual kWh		Post Annual therms
Post Annual Total Enegy Use (kWh)		Post Annual Energy Costs
Total Energy Savings (kWh)		Project Cost
Rebates-Utility		Rebates-Other
Project Cost post rebate		Energy Cost Savings/Year
Payback (Years)		lbs. CO2 savings/year
Omissions in figures (if any)
Narrative Description
By writing my name here I certify that I have cleared all information in this application to be true *
Link to additional Sources

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