[label Your Name (required)] [/label] [label Phone] [/label] [label Your Email (required)] [/label] [label Address (for roof simulation)] [/label]
[label Monthly Electricity Spend (ZAR)] R 2000 [/label]
[label Desired Independence (%)] 25% [/label]
[label List Appliances?] No (n)Yes (y) [/label] [label Number of Geysers] [/label] [label Geyser Used at Sunrise?] No (n)Yes (y) [/label] [label Geyser Timer?] No (n)Yes (y) [/label] [label Number of Aircons] [/label] [label Aircon Type] Non-inverter (n)Inverter (i) [/label] [label Aircon Time] Night (n)Day (y) [/label] [label Aircon Hours Daily] [/label] [label Number of Deep Freezers] [/label] [label Number of TVs] [/label] [label Outdoor Pumps?] No (n)Yes (y) [/label] [label Pumps Used at Night?] No (n)Yes (y) [/label]
[label Phase] Single Phase (s)Three Phase (3) [/label] [label Finance Option] Cash (n)Finance (y) [/label] [label Referral? (for free CoC)] No (n)Yes (y) [/label]
[label Roof Material] tilecorrugatedthatchedother [/label] [label Other Roof Material (if selected)] [/label] [label Roof Type] Pitched (p)Flat (f) [/label]
[label Loadshedding Hours (for backup)] [/label]
[label Tariff Rate (/kWh)] [/label] [label Currency] ZARUSDEUR [/label]
[label Notes] [/label]