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Book Your Home Energy Audit Today!
If you live in the following areas: greater GTA including Toronto, Etobicoke, Mississauga, Brampton, Oakville, Burlington, Hamilton, Guelph, Kitchener/Waterloo, Richmond Hill, Markham, Scarborough, or Ottawa please fill out the information below to book an appointment with us. Upon submitting your completed form you will be contacted within 1 business day to set up a formal appointment time.
NOTE
: If you have registered online with NRCAN, please foward your registration email to
information@enwisebuildingscience.com
to speed up the process!
*'D' Audit cost is $325 less $150 rebate from provincial government
*'E' Audit cost is $175 (no audit rebate from province)
HOMEOWNER INFORMATION:
* Required field
First Name *
Last Name *
No. *
Street *
City/Town *
Province *
Postal Code *
Home Phone *
Alternate Phone
Email *
Are you the homeowner? Y
N
Approx. Age of Home (Yrs.)
Approx. Sq. Ft. (excluding basement)
BEST PHONE NUMBER & TIME OF DAY TO CONTACT YOU:
Home Phone
Alternate Phone
Weekdays: 9 AM to 12 PM
12 PM to 5 PM
5 PM to 7 PM
Saturday: 9 AM to 5 PM
OTHER INFORMATION:
Which one best describes you? *
Select One
Not Applicable
Looking to make upgrades within the month
Looking to make upgrades within the year
Want to learn more about my home
Biggest reason to make changes: *
Select One
Not Applicable
Make my home more comfortable
To save money on my energy bills
To help preserve the environment
Please indicate areas of your home that require attention:
Where did you hear about us? *
Select One
Contractor
EnSight Newsletter
EnWise Vehicle
Flyer in Mail
Referral
Government Website (NRCAN)
Web Search
Radio Ad
Magazine Ad
Newspaper
Yellow Pages
Tradeshow
Go Train
Lawn Sign/Window Sticker
Other (please specify)
If "Other", please specify
Promo Code
Please email me about future product promotions or energy saving tips. *
Y
N
In order to submit the form, please enter the two words in the image below (be sure to include a space separating the two words).
If you have trouble reading the image, please use the buttons next to it to get a new pair of words.
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