SuperNova Client Intake Electronic Intake - Step 2 of 2 Submission Date * MM DD YYYY Representative's Name * First Name Last Name Representative's Email * Representative's Phone * (###) ### #### Representative Code * Client's Business Name * Client's Business Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Client's Name * First Name Last Name Client's Phone * (###) ### #### Client's Email * Is the above person a desicion maker? * Yes No Does the decision maker own the property? * Yes No If no, then please list the owner's information: Product Selection * EV Chargers Solar Panels EV Chargers & Solar Panels Solar Field Notes Thank you for your SuperNova client intake submission!We will review the uploaded documents and once processed you will receive an confirmation email letting you know your submission is in good order. If you have any questions feel free to contact us in the meantime.
