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FRANCHISE
Buy Together
Franchise Application Form
SOLECTRIC AGENT APPLICATION
LET US BUY TOGETHER AND POWER EACH OTHER
*
Indicates required field
Name
*
First
Last
Other Names
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Identification Numbebr
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Email
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Phone Number
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Physical Address and Building Owner
Physical Address
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Community
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City / Province
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Building Owner
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Type of Property
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Occupants
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Tell how many people are living in the building
Do you have access to electricity?
Source Of Electricity
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Are you on the grid?
Are you on prepaid or post paid electricity?
Do you have a Diesel or Petrol Power Generator?
How much are you spending on Electricity monthly?
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I don't have access to Electricity - why?
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Tell us about your house
How big is your House?
*
Option 1 One to Two Bedrooms
Option 2 Three to Four Bedrooms
Option 3 Five to Six Bedrooms
Option 4 Seven Bedrooms and Above
Preferred Payment Plan for your B2G Community
B2G A Choose One
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60 Months Payment plan
72 Months Payment Plan
84 Months Payment Plan
B2G B Choose One
*
96 Months Payment Plan
108 Months Payment Plan
120 Months Payment Plan
Other information you may want to share
*
Submit
Home
Product Overview
About Us
Product & Specifications
Services and Solution
Placing Orders
Contact
FRANCHISE
Buy Together
Franchise Application Form
SOLECTRIC AGENT APPLICATION
solectrichomes