Supplier Registration

Your Company Name*

Your Name*

First Last

Your Job Title*

Your Contact Phone Number

Your Contact Email*

Is your company registered on www.energypn.com?*

Have you sent in the following documents? Check all that apply.*

Provide a brief description of the products and services you're offering

Will you provide us with a list of customers to call?*

Check off all target segments listed below*

Check off any target verticals listed below*

Do you need to perform a site audit to provide a customer quote?

Do you want PartnerStitch to perform its own site audits to get pricing?

Minimum Square Feet desired, if applicable

Minimum Annual kWh Usage desired, if applicable

Minimum Demand, if applicable

Ideal hours of operation, if applicable (i.e., 24/7, weekdays, weekends, etc.)

Minimum AMP of subpanel, if applicable

Ideal existing lighting fixtures, if applicable (i.e., T12, T8, LED, etc.)

Roof specs, if applicable (water source, slope, size, etc.)

Do you want to target any of these Utilities? (Check all that apply)

Do you need usage utility bill copies? If yes, how many months?

Outdoor Requirements, if applicable: i.e., Acreage, Topography, Proximity to Transmission lines, etc.

Indoor Requirements, if applicable: i.e., Wifi, Nat Gas Supply, etc.

Any other specifications not covered? Explain here.

Do you have a Coupon Code or other Identifier you would like us to use to track your campaign?

Upload Relevant Sales & Marketing Materials, if available

Drop files here or

Max. file size: 128 MB, Max. files: 10.