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508-398-0398

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Register for a Free Home Energy Assessment

How it Works

Go to Multi-Family Form

Please complete this form to register for a free Home Energy Assessment in the Mass Save® program with Cape Save!

Cape Save Home Energy Assessment Request Form

First name*

Last name*

Email*

Phone*

Home Address (Street, City, Zip Code) for the house you want to register*

Utility Accounts & Referrals

Eversource Account Name and Account Number #*

Please provide your Eversource account # and the name on the account (e.g. John Smith - 1400001234). This information must be provided to register.

National Grid Account Name & Account Number #

Please provide your National Grid account name and number (e.g. John F. Smith - 55000-12000) This information must be provided to register if you have a natural gas heating system.

How did you hear about Cape Save?*

If you were referred by a customer of ours, please include their name.

Referral Contact Info (if applicable)

If you were referred to us, please let us know who we can thank!

Have you registered in the Mass Save program before?

Yes

Yes, but not at this address

About Your Home

Do you have a single family home?*

Yes

Do you own or rent?*

Own

Rent

What is your household size?***

4 or more

What is your income level?

Less than $50,000

$50,000 - $69,999

$70,000 - $85,999

$86,000 - $99,999

$100,000 or more

***We ask the previous two questions to help determine if you are eligible for income-based assistance that could cover weatherization improvements at 100%.

What is the style of your home?*

Cape

Ranch

Cottage

Colonial

Modern

Contemporary

Other

What is your primary heating fuel?*

Natural Gas

Electric

Other

Does the home have central air conditioning?*

Yes

In what year was the home built?*

What is the approximate square footage of the house?*

Please sign to indicate you would like a free Home Energy Assessment in the Mass Save® program.*

Use your mouse to sign in the box above.

info@capesave.com

508-398-0398

7-D Huntington Avenue, So. Yarmouth, MA 02664

Fully Licensed & Insured. Certifications: BPI BA-T, Lead-Safe, OSHA

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