____________________________________ ___________________________________________________________________________________
Customer Name/Company Physical Address of Solar System
____________________________________ __________________________________________________________________________________
Company Address
4. Inverter Information *
Inverter 1 Manufacturer Model Quantity Rating (W) Efficiency (%)
____________________________ _________________________ _______ ______________ __________
Inverter 2 Manufacturer Model Quantity Rating (W) Efficiency (%)
____________________________ _________________________ _______ ______________ __________
Customer Installer
Signature: ________________________________ Signature: ____________________________________
Print Name: ________________________________ Print Name: ____________________________________
Date: ________________________________ Date: ____________________________________