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Name & Surname
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Phone Number
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Email Address
*
Address
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City
*
Province
*
Area Code
*
Preferred Contact Method?
Phone call
Whatsapp
Email
*
Your Payment Method Preference
Cash
EFT
Yoco (Swiping Card)
*
When are you looking to install solar?
Now
Next Calendar Month
Next 3 Months
Within This Year
I'm Not Sure
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What is your Solar Budget
Less than R100 000
R100 000 - R200 000
R200 000 and Higher
*
I can confirm all the details above are correct and true.
Yes
No
Submit