Skip to content
Summer of Champions
Powur
Centurion Intake Form
Survey Questions For Your Powured Life Page
Please enable JavaScript in your browser to complete this form.
ABOUT YOU
Name
*
First
Last
Business Name
Email
*
Phone
*
City & State (To display on landing page)
*
Year You Joined Powur (ex. 2019)
*
2-3 Paragraph Bio
*
Tell us about yourself!
Favorite Quote (copy)
*
This can be a quote by you or someone else. Please include the name of the person quoted.
Mailing Address (will not be displayed on landing page)
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
T-SHIRT DETAILS
T-Shirt Size
*
Small
Medium
Large
XL
XXL
XXXL
SOCIAL & WEBSITE URLs
Facebook URL
Instagram URL
LinkedIn URL
Twitter URL
Website URL
CERTIFICATIONS
Check All Certifications That Apply
Enphase Storage
SolarEdge
Sunnova
Roofing
Tier 2 Solar Skills
Tier 3 Solar Expertise
CA CSLB HIS
CT CSLB HIS
Rank # for CA CSLB HIS
Rank # for CT CSLB HIS
Photos of you (THE MORE THE MERRIER!!)
*
Click or drag files to this area to upload.
You can upload up to 40 files.
Please upload a profile picture, and as many other photos as you have on hand - we’ll determine the # of photos used for the Powured Life Page, you can include installation photos, impact journey photos, or photos at a solar lead gen event.
Any additional comments or instructions?
Submit!
