Contact UsPlease enable JavaScript in your browser to complete this form.Who is filling out this form? *AdminSalesGlenLucioMarketingPERSON DETAILSFirst Name *Last Name *Email *Phone Number *Street Address *Suburb *State *QueenslandNew South WalesAustralian Capital TerritoryVictoriaTasmaniaSouth AustraliaWestern AustraliaNorthern TerritoryPost Code *Property Type *ResidentialCommercialIs it a new or existing system? *Select an optionNew SystemExistingUnknownBudget *Top quality (most expensive)A good mix of quality and priceA good budget systemLead Source *Select an optionWalk-inPhoneDrive-byWebsiteCanungra TimesYarrabilba BulletinEvent or trade showMailbox DropNewspaper AdRadio Metro Radio Rebel FMThe Breeze 100.6Solar QuotesThrough a friendGoogle AdFacebookInstagramPinterestYoutubeWhat stage is the lead in? *Select an optionLeadQualifiedShowroom / Site VisitEngineering / DesignProposal SentProposal ApprovedIdle SalesSERVICE REQUESTWhat services are required? *Residential SolarCommercial SolarSolar and Battery ComboAdd Battery to existingPanel LeaningOff-Grid SolutionBreak / Fix ServicePower Profiling - remote probeSolar SystemBatteryOtherBusiness Name *SITUATION ANALYSISDaily Kilowatt UseAverage power bill per quarterHouse/Building LevelSelect an optionSingleDoubleOtherPhasesSelect an optionSingleThreeRoofSelect an optionTinTileSystem Size PreferenceAdditional NotesNext Step?What is the next Activity? *Select an optionAppointmentCallProposal Created and SentOtherWho is it booked with? *Who is responsible for this activity? *Date *DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Time *Add Activity Notes *Submit