Energy Efficiency Program Application

2. 1. Home
   2. Business

   If both, please fill out one application for each.

4. First Name

5. Middle Initial

6. Last Name

8. Business / Organization

10. Address

12. Greenville, TX

13. Zip Code

15. Phone Number

16. Alternate Phone

18. E-mail

20. Add Attachment

    Proof of purchase required. Attach receipt here.

22. Plan to participate in

    1. Lighting
    2. Holiday Lighting

    1. Thermostat
    2. Appliance

    1. Attic Insulation(Preferred Vendor Required)

24. Select Contractor(s) from GEUS approved vendor list
    -- Select One --Armstrong ApplianceCrawford- Smith, Inc.Curtis ApplianceDuncan Electrical Contractors, Inc.Forbes Air Conditioning & HeatingGreenville Heat & Air, Inc.Home DepotKen Parker Service, Inc.Lowe'sRED-E Air, Air Conditioning & HeatingTri-County Insulation

26. Vendor details are available on Savvy Consumer main page

    Savvy Approved Vendor List

28. How did you hear about Savvy Consumer?

    1. Print ad
    2. TV

    1. Radio
    2. Website

    1. Referral

30. Referred by

32. GEUS is happy to provide a list of approved vendors. There is no implied warranty by GEUS for work performed and / or satisfaction to our mutual customer. All work and billing transactions are between the GEUS customer and his / her chosen contractor. This program can be modified and / or canceled at any time by GEUS.

    GEUS is happy to provide a list of approved vendors. There is no implied warranty by GEUS for work performed and / or satisfaction to our mutual customer. All work and billing transactions are between the GEUS customer and his / her chosen contractor. This program can be modified and / or canceled at any time by GEUS.

Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit Submit and Print

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