Please fill out as much as you can. None of your personal information will be shared. |
| name |
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| address |
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| address 2 |
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| city, town, or village |
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| state |
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| zip |
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| email address |
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| general comments |
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| your tips, tricks, or techniques |
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| may we share your tips? |
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| do you plan to try any of the ideas from website? |
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| how much do you expect to save? |
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| have you told anyone about this web site? |
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| how did you learn about our web site? |
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| how can we make our web site better? |
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| Please let me know about: |
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| energy saving workshops in my area |
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| new features on the web site |
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| rebate programs, subsidies and other resources |
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| other programs shown on our site (please describe) |
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| Thanks for your input! |
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Home Energy Savings