Lead Generation Form - Mercom India

Name*

Contact Number*

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Which type of Rooftop System are you looking for*

Type*

Off-Grid
On-Grid

Would you like to explore the EMI option?*

Yes
No

Planning for Installation in months*

What is your average Electricity Consumption?*

> 800 Units
< 800 Units

Monthly Electricity Bill (in ₹)*

Do You have UPS Backup?*

Yes
No

Essential Appliances*

Lights (Bulb)

Qty*

Qty

Lights (CFL)*

Lights (CFL)

Qty*

Qty

Lights (LED)*

Lights (LED)

Qty*

Qty

Tube lights*

Tube lights

Qty*

Qty

Fans*

Fans

Qty*

Qty

TV*

TV

Qty*

Qty

Water Pump*

Water Pump

Qty*

Qty

Electric geyser*

Electric geyser

Qty*

Qty

AC*

AC

Qty*

Qty

Please enter the wattage of any other appliances you wish to run.

Wattage

Qty

Estimated Rooftop Space (Square Feet)*

Is there Shading on your Roofspace

Yes
No
Partial

If yes, Estimate of Roof Space under Shading (percentage)

What size solar installation are you thinking of

As a thumb rule, you require 100 sq. feet (~ 10 m²)area for a 1 kW solar system capacity

Material on which the Rooftop Solar System will be placed?

Extra power for future expansion (percentage)