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Energy Savings Box Order Form
Unlock savings and enhance your home's energy efficiency with our complimentary Energy Savings Box. Sign up today to receive your kit and enjoy a more energy-efficient home. It's simple - just fill out the form below!
Are you a renter?
*
Required
Yes
No
Our Energy Savings Box is designed to help renters improve the energy efficiency of their living spaces. If you are a homeowner and believe this offering could benefit you too, please complete your order.
What type of home do you live in?
Select Your Answer
Single Family
Apartment
Duplex
Mobile Home
Other (Specify)
*
Required
Other Home Type
*
Required
Customer First Name
(as it appears on your bill)
*
Required
Customer Last Name
(as it appears on your bill)
*
Required
PG&E Account Number
(first 10 numbers before the hyphen on the top right of your bill)
*
Required
Email Address
*
Required
Phone Number (Optional)
Where will the items in the Energy Savings Box be used?
Street Address
*
Required
City
*
Required
Zip Code
*
Required
Where should we send your Energy Savings Box?
(Please note: we are unable to ship to a P.O. Box.)
Same as address above
Other
Street Address
*
Required
City
*
Required
Zip Code
*
Required
I authorize Sonoma Clean Power and the program's third-party vendor to email me about my order and to communicate with me on other program-related topics. (Required)
I would also like to receive emails on Sonoma Clean Power’s other programs, news, and offerings. (Optional)
I have read and agree to the terms and conditions for this program.
All energy savings savings box orders require acceptance of the Terms & Conditions. To review, click on this
link
. (Required)
Submit
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