Homeowner / Business Info Installation Type* Installation Type Residential Commercial
Installation Performed By* Installation Performed By Authorized Dealer Homeowner
Homeowner Name*
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Co-Homeowner Name
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Business Name*
Homeowner Address*
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Street Address
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Country Country Afghanistan Albania Algeria American Samoa Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Polynesia Gabon Gambia Georgia Germany Ghana Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Sudan, South Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe
Homeowner Phone*
Homeowner Email
Dealer Info Purchasing Company*
Service Provider*
Dealer Address*
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Street Address
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City
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State / Province / Region
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State State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific
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Postal Code
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International Postal Code
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Country Country Afghanistan Albania Algeria American Samoa Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Polynesia Gabon Gambia Georgia Germany Ghana Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Sudan, South Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe
Company Phone*
Company Email*
Sales Rep Name
First
Last
Installer Name
First
Last
Product Info Product Installed* Product Installed Heliocol SunStar ecoSPARK Solene SPHERE SunValue SunBurst UniverSol Attic Fan SunSmile
Heliocol Panel Type* Heliocol Panel Type HC-62 = 4ft x 15.5ft – Black HC-50 = 4ft x 12.5ft – Black HC-40 = 4ft x 10.5ft – Black HC-38 = 4ft x 9.5ft – Black HC-30 = 4ft x 8ft – Black HC-26 = 4ft x 6.5ft – Black HC-24 = 4ft x 6ft – Black HC-18 = 4ft x 4.5ft – Black HC-16 = 4ft x 4ft – Black HC-258 = 2ft x 4.5ft – Black HC-15.5 = 1ft x 15.5ft – Black HC-12.5 = 1ft x 12.5ft – Black HC-10.5 = 1ft x 10.5ft – Black HC-9.5 = 1ft x 9.5ft – Black HC-8 = 1ft x 8ft – Black
SunStar Panel Type* SunStar Panel Type STR-62 = 4ft x 15.5ft – Black STR-50 = 4ft x 12.5ft – Black STR-40 = 4ft x 10.5ft – Black STR-38 = 4ft x 9.5ft – Black STR-30 = 4ft x 8ft – Black STR-24 = 4ft x 6ft – Black STR-18 = 4ft x 4.5ft – Black STR-16 = 4ft x 4ft – Blac STR-258 = 2ft x 4.5ft – Black STR-12.5 = 1ft x 12.5ft – Black STR-10.5 = 1ft x 10.5ft – Black STR-9.5 = 1ft x 9.5ft – Black STR-8 = 1ft x 8ft – Black
ecoSPARK Panel Type* ecoSPARK Panel Type SLES-8 – 1ft x 8ft – Black Glazed SLES-10.5 – 1ft x 10.5ft – Black Glazed SLES-25 – 3ft x 8ft – Black Glazed SLES-30 – 4ft x 8ft – Black Glazed SLES-40 – 4ft x 10.5ft – Black Glazed
Solene Panel Type* Solene Panel Type SLAR-24 – 4ft x 6ft SLAR-32 – 4ft x 8ft SLAR-40 – 4ft x 10ft SLSG-32 – 4ft x 8ft SLSG-40 – 4ft x 10ft
SPHERE System Installed* SPHERE System Installed SPHERE SPHERE Pro
SunValue Panel Type* SunValue Panel Type SV48 - 4ft x 12ft SV40 - 4ft x 10ft SV32 - 4ft x 8ft
SunBurst Panel Type* SunBurst Panel Type SB48 - 4ft x 12ft SB40 - 4ft x 10ft SB32 - 4ft x 8ft
UniverSol Panel Type* UniverSol Panel Type US48 - 4ft x 12ft US40 - 4ft x 10ft US32 - 4ft x 8ft
Attic Fan Type* Attic Fan Type Black 32 watt Roof Mount Black 48 watt Roof Mount Black 48 Watt Gable Mount Black 48 Watt Curb Mount Low Profile 35 watt
SunSmile Kit Installed* SunSmile Kit Installed SunSmile Base Kit SunSmile Expander Kit
System Installed* System Installed Active PV Active DC Open Loop Closed Loop Drainback Passive
Quantity* Was the Heliocol warranty 10 year or 12 year?* Was the Heliocol warranty 10 year or 12 year? 10 year limited transferrable warranty 12 year limited warranty
Add 3 year or 5 year SunValue Warranty Extension? Add 3 year or 5 year SunValue Warranty Extension? No warranty extension 3 year warranty extension 5 year warranty extension
Installation Date*
MM slash DD slash YYYY
Date of Purchase*
MM slash DD slash YYYY
Date Code
Serial Number*
Did you install a tank?* Tank Installed*
Tank Serial Number*
Uploads Please upload ONE of the following documents: Proof of Purchase, Signed Contract, Copy of Invoice.
Proof of Purchase
Signed Contract
Copy of Invoice
Installation Photos Add photos here if you would like to enter the Installation Photo Contest.
Add another product? Product 2 Info Product Installed* Product Installed Heliocol SunStar ecoSPARK Solene SPHERE SunValue SunBurst UniverSol Attic Fan SunSmile
Heliocol Panel Type* Heliocol Panel Type HC-62 = 4ft x 15.5ft – Black HC-50 = 4ft x 12.5ft – Black HC-40 = 4ft x 10.5ft – Black HC-38 = 4ft x 9.5ft – Black HC-30 = 4ft x 8ft – Black HC-26 = 4ft x 6.5ft – Black HC-24 = 4ft x 6ft – Black HC-18 = 4ft x 4.5ft – Black HC-16 = 4ft x 4ft – Black HC-258 = 2ft x 4.5ft – Black HC-15.5 = 1ft x 15.5ft – Black HC-12.5 = 1ft x 12.5ft – Black HC-10.5 = 1ft x 10.5ft – Black HC-9.5 = 1ft x 9.5ft – Black HC-8 = 1ft x 8ft – Black
SunStar Panel Type* SunStar Panel Type STR-62 = 4ft x 15.5ft – Black STR-50 = 4ft x 12.5ft – Black STR-40 = 4ft x 10.5ft – Black STR-38 = 4ft x 9.5ft – Black STR-30 = 4ft x 8ft – Black STR-24 = 4ft x 6ft – Black STR-18 = 4ft x 4.5ft – Black STR-16 = 4ft x 4ft – Blac STR-258 = 2ft x 4.5ft – Black STR-12.5 = 1ft x 12.5ft – Black STR-10.5 = 1ft x 10.5ft – Black STR-9.5 = 1ft x 9.5ft – Black STR-8 = 1ft x 8ft – Black
ecoSPARK Panel Type* ecoSPARK Panel Type SLES-8 – 1ft x 8ft – Black Glazed SLES-10.5 – 1ft x 10.5ft – Black Glazed SLES-25 – 3ft x 8ft – Black Glazed SLES-30 – 4ft x 8ft – Black Glazed SLES-40 – 4ft x 10.5ft – Black Glazed
Solene Panel Type* Solene Panel Type SLAR-24 – 4ft x 6ft SLAR-32 – 4ft x 8ft SLAR-40 – 4ft x 10ft SLSG-32 – 4ft x 8ft SLSG-40 – 4ft x 10ft
SPHERE System Installed* SPHERE System Installed SPHERE SPHERE Pro
SunValue Panel Type* SunValue Panel Type SV48 - 4ft x 12ft SV40 - 4ft x 10ft SV32 - 4ft x 8ft
SunBurst Panel Type* SunBurst Panel Type SB48 - 4ft x 12ft SB40 - 4ft x 10ft SB32 - 4ft x 8ft
UniverSol Panel Type* UniverSol Panel Type US48 - 4ft x 12ft US40 - 4ft x 10ft US32 - 4ft x 8ft
Attic Fan Type* Attic Fan Type Black 32 watt Roof Mount Black 48 watt Roof Mount Black 48 Watt Gable Mount Black 48 Watt Curb Mount Low Profile 35 watt
SunSmile Kit Installed* SunSmile Kit Installed SunSmile Base Kit SunSmile Expander Kit
System Installed* System Installed Active PV Active DC Open Loop Closed Loop Drainback Passive
Quantity* Was the Heliocol warranty 10 year or 12 year?* Was the Heliocol warranty 10 year or 12 year? 10 year limited transferrable warranty 12 year limited warranty
Installation Date*
MM slash DD slash YYYY
Date of Purchase*
MM slash DD slash YYYY
Serial Number
Date Code
Did you install a tank?* Tank Installed*
Tank Serial Number*
Add another product? Product 3 Info Product Installed* Product Installed Heliocol SunStar ecoSPARK Solene SPHERE SunValue SunBurst UniverSol Attic Fan SunSmile
Heliocol Panel Type* Heliocol Panel Type HC-62 = 4ft x 15.5ft – Black HC-50 = 4ft x 12.5ft – Black HC-40 = 4ft x 10.5ft – Black HC-38 = 4ft x 9.5ft – Black HC-30 = 4ft x 8ft – Black HC-26 = 4ft x 6.5ft – Black HC-24 = 4ft x 6ft – Black HC-18 = 4ft x 4.5ft – Black HC-16 = 4ft x 4ft – Black HC-258 = 2ft x 4.5ft – Black HC-15.5 = 1ft x 15.5ft – Black HC-12.5 = 1ft x 12.5ft – Black HC-10.5 = 1ft x 10.5ft – Black HC-9.5 = 1ft x 9.5ft – Black HC-8 = 1ft x 8ft – Black
SunStar Panel Type* SunStar Panel Type STR-62 = 4ft x 15.5ft – Black STR-50 = 4ft x 12.5ft – Black STR-40 = 4ft x 10.5ft – Black STR-38 = 4ft x 9.5ft – Black STR-30 = 4ft x 8ft – Black STR-24 = 4ft x 6ft – Black STR-18 = 4ft x 4.5ft – Black STR-16 = 4ft x 4ft – Blac STR-258 = 2ft x 4.5ft – Black STR-12.5 = 1ft x 12.5ft – Black STR-10.5 = 1ft x 10.5ft – Black STR-9.5 = 1ft x 9.5ft – Black STR-8 = 1ft x 8ft – Black
ecoSPARK Panel Type* ecoSPARK Panel Type SLES-8 – 1ft x 8ft – Black Glazed SLES-10.5 – 1ft x 10.5ft – Black Glazed SLES-25 – 3ft x 8ft – Black Glazed SLES-30 – 4ft x 8ft – Black Glazed SLES-40 – 4ft x 10.5ft – Black Glazed
Solene Panel Type* Solene Panel Type SLAR-24 – 4ft x 6ft SLAR-32 – 4ft x 8ft SLAR-40 – 4ft x 10ft SLSG-32 – 4ft x 8ft SLSG-40 – 4ft x 10ft
SPHERE System Installed* SPHERE System Installed SPHERE SPHERE Pro
SunValue Panel Type* SunValue Panel Type SV48 - 4ft x 12ft SV40 - 4ft x 10ft SV32 - 4ft x 8ft
SunBurst Panel Type* SunBurst Panel Type SB48 - 4ft x 12ft SB40 - 4ft x 10ft SB32 - 4ft x 8ft
UniverSol Panel Type* UniverSol Panel Type US48 - 4ft x 12ft US40 - 4ft x 10ft US32 - 4ft x 8ft
Attic Fan Type* Attic Fan Type Black 32 watt Roof Mount Black 48 watt Roof Mount Black 48 Watt Gable Mount Black 48 Watt Curb Mount Low Profile 35 watt
SunSmile Kit Installed* SunSmile Kit Installed SunSmile Base Kit SunSmile Expander Kit
System Installed* System Installed Active PV Active DC Open Loop Closed Loop Drainback Passive
Quantity* Was the Heliocol warranty 10 year or 12 year?* Was the Heliocol warranty 10 year or 12 year? 10 year limited transferrable warranty 12 year limited warranty
Installation Date*
MM slash DD slash YYYY
Serial Number
Date of Purchase*
MM slash DD slash YYYY
Date Code
Did you install a tank?* Tank Installed*
Tank Serial Number*
Add another product? Product 4 Info Product Installed* Product Installed Heliocol SunStar ecoSPARK Solene SPHERE SunValue SunBurst UniverSol Attic Fan SunSmile
Heliocol Panel Type* Heliocol Panel Type HC-62 = 4ft x 15.5ft – Black HC-50 = 4ft x 12.5ft – Black HC-40 = 4ft x 10.5ft – Black HC-38 = 4ft x 9.5ft – Black HC-30 = 4ft x 8ft – Black HC-26 = 4ft x 6.5ft – Black HC-24 = 4ft x 6ft – Black HC-18 = 4ft x 4.5ft – Black HC-16 = 4ft x 4ft – Black HC-258 = 2ft x 4.5ft – Black HC-15.5 = 1ft x 15.5ft – Black HC-12.5 = 1ft x 12.5ft – Black HC-10.5 = 1ft x 10.5ft – Black HC-9.5 = 1ft x 9.5ft – Black HC-8 = 1ft x 8ft – Black
SunStar Panel Type* SunStar Panel Type STR-62 = 4ft x 15.5ft – Black STR-50 = 4ft x 12.5ft – Black STR-40 = 4ft x 10.5ft – Black STR-38 = 4ft x 9.5ft – Black STR-30 = 4ft x 8ft – Black STR-24 = 4ft x 6ft – Black STR-18 = 4ft x 4.5ft – Black STR-16 = 4ft x 4ft – Blac STR-258 = 2ft x 4.5ft – Black STR-12.5 = 1ft x 12.5ft – Black STR-10.5 = 1ft x 10.5ft – Black STR-9.5 = 1ft x 9.5ft – Black STR-8 = 1ft x 8ft – Black
ecoSPARK Panel Type* ecoSPARK Panel Type SLES-8 – 1ft x 8ft – Black Glazed SLES-10.5 – 1ft x 10.5ft – Black Glazed SLES-25 – 3ft x 8ft – Black Glazed SLES-30 – 4ft x 8ft – Black Glazed SLES-40 – 4ft x 10.5ft – Black Glazed
Solene Panel Type* Solene Panel Type SLAR-24 – 4ft x 6ft SLAR-32 – 4ft x 8ft SLAR-40 – 4ft x 10ft SLSG-32 – 4ft x 8ft SLSG-40 – 4ft x 10ft
SPHERE System Installed* SPHERE System Installed SPHERE SPHERE Pro
SunValue Panel Type* SunValue Panel Type SV48 - 4ft x 12ft SV40 - 4ft x 10ft SV32 - 4ft x 8ft
SunBurst Panel Type* SunBurst Panel Type SB48 - 4ft x 12ft SB40 - 4ft x 10ft SB32 - 4ft x 8ft
UniverSol Panel Type* UniverSol Panel Type US48 - 4ft x 12ft US40 - 4ft x 10ft US32 - 4ft x 8ft
Attic Fan Type* Attic Fan Type Black 32 watt Roof Mount Black 48 watt Roof Mount Black 48 Watt Gable Mount Black 48 Watt Curb Mount Low Profile 35 watt
SunSmile Kit Installed* SunSmile Kit Installed SunSmile Base Kit SunSmile Expander Kit
System Installed* System Installed Active PV Active DC Open Loop Closed Loop Drainback Passive
Quantity* Was the Heliocol warranty 10 year or 12 year?* Was the Heliocol warranty 10 year or 12 year? 10 year limited transferrable warranty 12 year limited warranty
Installation Date*
MM slash DD slash YYYY
Date of Purchase*
MM slash DD slash YYYY
Serial Number
Date Code
Did you install a tank?* Tank Installed*
Tank Serial Number*
Registration completed by* Comments
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Do you have a rebate to apply?* Hidden
Do you have a signed photo release document?*
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Completed Rebate Form
Hidden
Photo Release Document*
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